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Individual
MRS. SHOBHA PRASAD
Active
Individual
MRS. SHOBHA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP CSW CACI LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
102491
MI
101YP2500X
Professional Counselor
6401001407
MI
103TC0700X
Clinical Psychologist
6301007851
MI
1041C0700X
Clinical Social Worker
6801060288
MI
Other
Enumeration date
11/17/2006
Last updated
09/11/2025
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