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CARMEN WARREN SHEPARD LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508462698

Individual Registrant:
 CARMEN WARREN SHEPARD LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
154 ROUND KNOB RD  ROCKY FACE, GA 30740-8516 US
Tel: 706-217-8732  Fax: --

Contact information for business:
154 ROUND KNOB RD  ROCKY FACE, GA 30740-8516 US
Tel: 706-217-8732  Fax: --

Registration Information:
NPI: 1508462698
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC011812

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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