Individual
DR. LAURA JANINE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PSYD, LPC
Contact information
Practice address
320 N. MAIN, SUITE 201, GRESHAM, OR 97030-7429
(503) 423-7951
Mailing address
320 N. MAIN STREET, SUITE 201-C, GRESHAM, OR 97030-7429
(503) 423-7951
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2132
OR
Other
Enumeration date
08/16/2007
Last updated
06/18/2010
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