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Individual

DR. DANIEL SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMIN, LMFT

Contact information

Practice address
210 W UNIVERSITY DR, ROCHESTER, MI 48307-1976
(248) 687-9251
(248) 671-3198
Mailing address
210 W UNIVERSITY DR, ROCHESTER, MI 48307-1976
(248) 687-9251
(248) 671-3198

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401013084
MI
106H00000X
Marriage & Family Therapist
Primary
4101007174
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12400604
CAQH
Enumeration date
06/22/2012
Last updated
09/11/2024
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