KKASSANOVA SHIELDS

Counselor

Active Individual
NPI: 1922387232

Practice Address

3024 WILLOW PASS RD
Concord, CA 94519

Phone: (925) 692-0090

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1922387232 is the National Provider Identifier for KKASSANOVA SHIELDS, a Counselor provider located in Concord, CA. This NPI was enumerated on August 4, 2011.
KKASSANOVA SHIELDS practices at 3024 WILLOW PASS RD, Concord, CA 94519.

Quick Facts

NPI
1922387232
Type
Individual
Enumerated
Aug 4, 2011
Last Updated
Aug 4, 2011

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