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NPI Code Detail

MEDICARE: DR. CHARLES F. SHEPARD PHD, NCC, LPC

MEDICARE:  DR. CHARLES F. SHEPARD  PHD, NCC, LPC
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 Counselor0701005604VA

General Provider Information

NPI Number : 1497182570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES F. SHEPARD PHD, NCC, LPC
Provider Business Mailing Address
First Line : 11 N CENTRAL AVE STE 16
Second Line :
City : STAUNTON
State : VA
Zip : 24401-4212
Country : US
Telephone Number : 540-416-2302
Fax Number : 540-202-9075
Provider Business Practice Location Address
First Line : 11 N CENTRAL AVE STE 16
Second Line :
City : STAUNTON
State : VA
Zip : 24401-4212
Country : US
Telephone Number : 540-416-2302
Fax Number : 540-202-9075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 01/28/2025

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Directions to “ DR. CHARLES F. SHEPARD PHD, NCC, LPC” Practice Location

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