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General NPI Number Information
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NPI Number | 1558909127
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Entity Type | Individual
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Provider Name | DANIELLE SHEPPARD LPCC, BC-TMH
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Gender | Female
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Dates
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Enumeration Date | 12/14/2019
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Last Update Date | 12/14/2019
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Provider Practice Location Address
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Address Line | 3755 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90004-3539
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Country | US
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Telephone | 323-369-6888
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Fax |
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Provider Business Mailing Address
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Address Line | 4131 LAFAYETTE PL
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City | CULVER CITY
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State | CA
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Zip | 90232-2817
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Country | US
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Telephone | 323-369-6888
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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 | LPCC444
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | LPCC444
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | LPCC444
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC444
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License Number State | CA
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