Individual provider · Type 1 NPI
Carlisia Shepherd
Mental Health Counselor · Wimauma, FL
NPI number
1417488537
Active
Practice location
10874 Standing Stone Dr
Wimauma, FL 33598-6161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1326311085 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1417488537
Carlisia Shepherd's National Provider Identifier is 1417488537, issued on Mar 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wimauma, FL. The record was last updated on Mar 21, 2017.