Individual provider · Type 1 NPI
Carlie Shepard
Counselor · South Windsor, CT
NPI number
1639083074
Active
Practice location
915 Sullivan Ave Ste 4A
South Windsor, CT 06074-2165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 9778 (CT) |
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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- Monica Smith, MSProfessional Counselor South Windsor, CT NPI 1578958013
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Other counselor providers in South Windsor
About NPI 1639083074
Carlie Shepard's National Provider Identifier is 1639083074, issued on Oct 1, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Windsor, CT. The record was last updated on Oct 1, 2026.