Individual
LISA S SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
11111 HALL ROAD #303, UTICA, MI 48317-5726
(773) 656-6248
Mailing address
16413 HOWARD, MACOMB, MI 48042-5783
(586) 260-4116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L1800340
MI
Other
Enumeration date
06/03/2011
Last updated
05/19/2021
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