Individual
FREDERICK CARY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2451 N LINCOLN AVE STE 206, CHICAGO, IL 60614-2422
(773) 469-6675
Mailing address
4950 N MARINE DR APT 908, CHICAGO, IL 60640-3992
(813) 943-5255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178012866
IL
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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