Organization
LISA S. SHEPARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA S SHEPARD MA LPC NCC (PROFESSIONAL COUNSELOR/OWNER)
(586) 260-4116
Entity
Organization
Contact information
Practice address
16413 HOWARD DR, MACOMB, MI 48042-5783
(586) 260-4116
Mailing address
16413 HOWARD DR, MACOMB, MI 48042-5783
(586) 260-4116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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