Individual
LANE LEE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
747 E SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3035
(435) 673-6111
(800) 673-0994
Mailing address
747 E SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3035
(435) 673-6111
(800) 673-0994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4913213-6004
UT
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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