Individual
MICHAEL SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 847-1426
(802) 847-1424
Mailing address
PO BOX 541, COLCHESTER, VT 05446-0541
(802) 448-0448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0117885
VT
Other
Enumeration date
06/14/2016
Last updated
10/03/2019
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