ETHAN ALVA SHEPPARD
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1063370799
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1063370799 is the National Provider Identifier for ETHAN ALVA SHEPPARD, a Counselor - Addiction (Substance Use Disorder) provider located in San Luis Obispo, CA. This NPI was enumerated on January 12, 2026.
ETHAN ALVA SHEPPARD practices at 2180 JOHNSON AVE, San Luis Obispo, CA 93401.
Quick Facts
- NPI
- 1063370799
- Type
- Individual
- Enumerated
- Jan 12, 2026
- Last Updated
- Jan 12, 2026
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