Individual
NICOLE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 FRANCE AVE S STE 230, EDINA, MN 55435-1810
(651) 358-2163
Mailing address
1700 HIGHWAY 36 W STE 130, ROSEVILLE, MN 55113-4054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02126
MN
Other
Enumeration date
06/26/2019
Last updated
12/30/2024
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