MRS. KARISSA SHEPHARD MA, LAADC
NPI 1609140284
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
Active since February 29, 2012
About Mrs. Karissa Shephard Ma, Laadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KARISSA SHEPHARD MA, LAADC (NPI 1609140284) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (LCI10220118) and active in the NPI registry since February 2012.
NPPES Registry Identity
NPI1609140284
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. KARISSA SHEPHARDCredential: MA, LAADC
Location Address7545 METROPOLITAN DRSan Diego, CA 92108-4402
Mailing Address7545 Metropolitan DrSan Diego, CA 92108-4402 · (562) 810-3701
Phone(562) 810-3701
Sole ProprietorYes
Enumeration DateFebruary 29, 2012
Last NPPES UpdateNovember 13, 2019
✔ NPI 1609140284 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · LCI10220118
7545 METROPOLITAN DR, San Diego, CA 92108
Other Names 1
Former Name (1)Ms. Karissa Ann Helfrick
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
7545 METROPOLITAN DR
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609140284, enumerated as an "individual" on February 29, 2012.
The provider is located at 7545 METROPOLITAN DR SAN DIEGO, CA 92108 and the phone number is (562) 810-3701.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
