Individual
MRS. CHARLENE SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
756 N SHARON DR, WOODSTOCK, IL 60098-3054
(847) 809-6948
Mailing address
756 N SHARON DR, WOODSTOCK, IL 60098-3054
(847) 809-6948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25600
IL
101YP2500X
Professional Counselor
Primary
180008612
IL
Other
Enumeration date
12/02/2016
Last updated
02/18/2022
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