Individual
KATHERINE LENAI SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7340 THOREAU CIR, ATLANTA, GA 30349-1063
(760) 617-0300
Mailing address
7340 THOREAU CIR, ATLANTA, GA 30349-1063
(760) 617-0300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009459
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1256707
IRS DEPARTMENT OF THE TREASURY INTERNAL REVEUE SERVICE
—
Enumeration date
03/20/2018
Last updated
03/20/2018
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