Individual
LEILA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCI
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R2561
OR
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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