person
Ms. Holly Shepard, CSAC,ICS
Mental Health Counselor in Fond Du Lac, Wisconsin
NPI 1770885600

Holly Shepard is a Mental Health Counselor based in Fond Du Lac, WI and is specialized in Mental Health. Holly Shepard practices in Fond Du Lac, WI and has the professional credentials of CSAC,ICS. The NPI Number for Holly Shepard is 1770885600 and holds a License No. 15462132 (Wisconsin).

The current practice location address for Holly Shepard is 23 W Scott St., Fond Du Lac, WI and can be reached out via phone at 920-926-0101 and via fax at 920-926-0060.

Location: 23 W Scott St., Fond Du Lac, WI, 54935
person
Provider Profile Details
NPI Number
1770885600
Provider Name
Holly Shepard
Credential
CSAC,ICS
Provider Entity Type
Individual
Gender
Female
Address
23 W Scott St., Fond Du Lac, WI, 54935
Phone Number
920-926-0101
Fax Number
920-926-0060
Provider Enumeration Date
11/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100012753 05 WI
institution
Provider Business Practice Location Address Details
Address
23 W Scott St.
City
State
Zip
54935
Phone Number
920-926-0101
Fax Number
920-926-0060
person
Provider Business Mailing Address Details
Address
23 W Scott St.
City
State
Zip
54935
Phone Number
920-926-0101
Fax Number
920-926-0060
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
15462132 (Wisconsin)
Definition
Definition to come...
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