Charles H Shields, THERAPIST

NPI #1114170057 in Bentonville, Arkansas

Provider Information

NPI Number: 1114170057
Entity Type: Individual
Name: Charles H Shields, THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: THERAPIST
Enumeration Date: Oct 23, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 2003 SE WALTON BLVD
City: Bentonville
State: Arkansas
ZIP Code: 72712-3725
Phone: (479) 464-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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