Individual
MAGDALEN VIOLET SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC, MT-BC
Contact information
Practice address
3204 N MAIN ST, ROYAL OAK, MI 48073-3424
(313) 486-4651
Mailing address
40004 CAMBRIDGE ST APT 202, CANTON, MI 48187-4544
(810) 922-0482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024653
MI
225A00000X
Music Therapist
17145
MI
Other
Enumeration date
03/10/2022
Last updated
10/01/2025
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