Individual
MRS. DIANE REE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
10828 GRAVELLY LAKE DR. SW, SUITE 107, LAKEWOOD, WA 98499-1300
(253) 984-9342
(253) 984-9370
Mailing address
10828 GRAVELLY LAKE DR. SW, SUITE 107, LAKEWOOD, WA 98499-1300
(253) 984-9342
(253) 984-9370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LH00007237
WA
Other
Enumeration date
01/22/2007
Last updated
08/04/2009
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