Individual
DANIELLE ELIZABETH SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC-A, LCAS
Contact information
Practice address
2224 S CROATAN HWY, NAGS HEAD, NC 27959-8813
(252) 715-6556
(252) 715-6558
Mailing address
2019 HIGHVIEW ST, KILL DEVIL HILLS, NC 27948-9325
(301) 873-7018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26348
NC
101YM0800X
Mental Health Counselor
A15904
NC
Other
Enumeration date
07/17/2020
Last updated
03/29/2022
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