Individual
CHERYL A SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
133 MOUNTAIN RD, 2ND FLOOR, SUFFIELD, CT 06078-2084
(860) 370-5061
Mailing address
133 MOUNTAIN RD, 2ND FLOOR, SUFFIELD, CT 06078-2084
(860) 370-5061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003452
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
11/08/2012
Last updated
05/10/2018
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