KENNETH SHIELDS, LMHC

Counselor - Mental Health

Active Individual
NPI: 1548267743

Practice Address

11104 PARKVIEW CIRCLE DR
STE 110
Fort Wayne, IN 46845

Phone: (260) 460-3203

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 39001242A (IN)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 87001425A (IN)

Frequently Asked Questions

NPI 1548267743 is the National Provider Identifier for KENNETH SHIELDS, LMHC, a Counselor - Mental Health provider located in Fort Wayne, IN. This NPI was enumerated on July 1, 2005.
KENNETH SHIELDS, LMHC practices at 11104 PARKVIEW CIRCLE DR, STE 110, Fort Wayne, IN 46845.

Quick Facts

NPI
1548267743
Type
Individual
Enumerated
Jul 1, 2005
Last Updated
Dec 26, 2012

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