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General NPI Number Information
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NPI Number | 1225993389
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Entity Type | Individual
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Provider Name | SHELLI CLARY SHEPPARD LPCS
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | PO BOX 175
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City | IOLA
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State | TX
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Zip | 77861-0175
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Country | US
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Telephone | 936-348-1042
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Fax |
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Provider Business Mailing Address
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Address Line | 10984 COUNTY ROAD 102
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City | NORTH ZULCH
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State | TX
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Zip | 77872-9758
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Country | US
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Telephone | 936-348-1042
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 18219
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License Number State | TX
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