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Individual
JENNIFER A SHEPHERD
Active
Individual
JENNIFER A SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305275
MN
101YP2500X
Professional Counselor
Primary
CC01966
MN
Other
Enumeration date
03/05/2018
Last updated
02/22/2022
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