Individual
ASHLEY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11 N MAIN ST, RANDOLPH, VT 05060
(802) 728-4466
Mailing address
9 HANOVER ST, SUITE 2, LEBANON, NH 03766-1312
(603) 448-0126
(603) 448-6001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077550
—
NH
Enumeration date
12/04/2015
Last updated
07/18/2018
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