Individual
MRS. KELSEY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
17325 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 847-5145
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401017380
MI
101YP2500X
Professional Counselor
Primary
6401017380
MI
Other
Enumeration date
02/04/2020
Last updated
08/13/2024
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