Mark Randall Shields, M.ED., L.P.C, CRAADC
NPI #1598268781 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1598268781
- Entity Type
- Individual
- Name
- Mark Randall Shields, M.ED., L.P.C, CRAADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.ED., L.P.C, CRAADC
- Enumeration Date
- Mar 14, 2018
- Last Updated
- Mar 14, 2018
Practice Location
- Address
- 1303 EDGEWOOD DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-1943
- Phone
- (573) 529-9496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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