Kenneth L. Shields, LMHC

NPI #1548267743 in Fort Wayne, Indiana

Provider Information

NPI Number: 1548267743
Entity Type: Individual
Name: Kenneth L. Shields, LMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LMHC
Enumeration Date: Jul 1, 2005
Last Updated: Dec 26, 2012

Practice Location

Address: 11104 PARKVIEW CIRCLE DR
Address 2: STE 110
City: Fort Wayne
State: Indiana
ZIP Code: 46845-1730
Phone: (260) 460-3203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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