National Provider Identifier
Marisa N Shepherd, CASAC
Marisa N Shepherd, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Buffalo, NY and a listed phone number of (716) 842-0440.
Profile Overview
- NPI
- 1710146956
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- June 03, 2008
- Last Updated
- February 17, 2025
Practice Location
- 899 Main St
- Buffalo, NY 14203-1109
Phone: (716) 842-0440
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1710146956
- Entity Type
- Individual
- Last Name
- Shepherd
- First Name
- Marisa
- Middle Name
- N
- Name Prefix
- MS.
- Credential
- CASAC
- Mailing Street Address
- 899 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1109
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Practice Street Address
- 899 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1109
- Practice Country
- US
- Practice Phone
- (716) 842-0440
- Enumeration Date
- June 03, 2008
- Last Updated
- February 17, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 17, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Addiction (Substance Use Disorder) Counselor (101YA0400X)