MARK SHIELDS, M.ED., L.P.C, CRAADC

Counselor - Mental Health

Active Individual
NPI: 1598268781

Practice Address

1303 EDGEWOOD DR
Jefferson City, MO 65109

Phone: (573) 529-9496

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 511 (MO)
Counselor - Mental Health 101YM0800X Yes CS001167 (MO)

Frequently Asked Questions

NPI 1598268781 is the National Provider Identifier for MARK SHIELDS, M.ED., L.P.C, CRAADC, a Counselor - Mental Health provider located in Jefferson City, MO. This NPI was enumerated on March 14, 2018.
MARK SHIELDS, M.ED., L.P.C, CRAADC practices at 1303 EDGEWOOD DR, Jefferson City, MO 65109.

Quick Facts

NPI
1598268781
Type
Individual
Enumerated
Mar 14, 2018
Last Updated
Mar 14, 2018

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