Individual provider · Type 1 NPI

Khyrstin Shepard

Mental Health Counselor · Bloomington, IL

NPI number 1821476730 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821476730

Khyrstin Shepard's National Provider Identifier is 1821476730, issued on May 12, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on May 12, 2015.