Derrell Shepherd, RSA
Derrell Shepherd, RSA is an Addiction (Substance Use Disorder) Counselor in Waukegan, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3010 Grand AveWaukegan, IL 60085-2321
Phone: (847) 691-3231
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1801772983 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RSA |
| Sole proprietor | No |
| NPI enumerated | August 13, 2025 |
| Last updated in NPPES | August 13, 2025 |
| Certification date | August 13, 2025 |
| Mailing address | 3010 Grand Ave, Waukegan, IL 60085-2321 |
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