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NPI Code Detail

MEDICARE: ASHLEE DANIELLE SHEARER MA, LLPC

MEDICARE: ASHLEE DANIELLE SHEARER MA, LLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401017018MI

General Provider Information

NPI Number : 1720551005
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE DANIELLE SHEARER MA, LLPC
Provider Business Mailing Address
First Line : 1001 FAIRFIELD DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-4317
Country : US
Telephone Number : 989-954-4673
Fax Number : 989-317-8722
Provider Business Practice Location Address
First Line : 1001 FAIRFIELD DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-4317
Country : US
Telephone Number : 989-954-4673
Fax Number : 989-317-8722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2019
Last Update Date : 08/10/2022

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