Individual provider · Type 1 NPI

Nicole Antoinette Shields, MS, LCPC, QMHP

Professional Counselor · Quincy, IL

NPI number 1023104940 Active

Practice location

1025 Maine St
Quincy, IL 62301-4038

Call (217) 222-6550 Map

Mailing address

2633 Brook Drive
Quincy, IL 62301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X180006745 (IL)

Professional Counselor: Definition to come...

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About NPI 1023104940

Nicole Antoinette Shields, MS, LCPC, QMHP's National Provider Identifier is 1023104940, issued on Oct 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Quincy, IL. The record was last updated on May 29, 2014.