Individual
LUISA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(362) 452-4062
(360) 452-4189
Mailing address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(362) 452-4062
(360) 452-4189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60711557
WA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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