Individual provider · Type 1 NPI

Nycole Shepherd

Counselor · Grand Rapids, MI

NPI number 1508538760 Active

Practice location

1115 Ball Ave NE
Grand Rapids, MI 49505-5904

Call (616) 456-6571 Map

Mailing address

4923 Allen Park Dr Apt N-I1
Allendale, MI 49401-8648

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1508538760

Nycole Shepherd's National Provider Identifier is 1508538760, issued on Oct 5, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 5, 2021.