Individual
AMANDA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
102 E LAFAYETTE ST, MONTICELLO, IL 61856-1954
(217) 373-2428
Mailing address
102 E LAFAYETTE ST, MONTICELLO, IL 61856-1954
(217) 369-3075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.009734
IL
Other
Enumeration date
08/06/2010
Last updated
08/10/2015
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