Charlene Shephard PLLC
Counselor, Professional in Woodstock, IL. Organization (NPI-2).
NPI number1336089911
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1336089911
- Entity type
- Organization (NPI-2)
- Legal business name
- Charlene Shephard PLLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2026
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
756 N Sharon DrWoodstock, IL 60098-3054
Phone 847-809-6948
Mailing address
756 N Sharon DrWoodstock, IL 60098-3054
Phone 847-809-6948
Authorized official
Charlene M Shephard
Member
8478096948
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