Shepherd, Jessie Rose

Shepherd, Jessie Rose is an individual health care provider with primary practice located at 7680 Elphick Rd , Sebastopol CA 95472-4751. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Shepherd, Jessie Rose can be contacted via phone (707) 543-6478.

Contact Information

Primary practice address
7680 Elphick Rd Sebastopol CA 95472-4751
Phone: (707) 543-6478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1891965000
LBN Legal business name Shepherd, Jessie Rose
Credentials MFTI
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2008
Last updated Aug 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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