Individual provider · Type 1 NPI

Kelly A. Shields, LPC

Professional Counselor · Portland, OR

NPI number 1083075790 Active

Practice location

5228 NE Hoyt St
Portland, OR 97213-3055

Mailing address

PO Box 3395
Portland, OR 97208-3395

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC3406 (OR)
Professional Counselor Primary 101YP2500XC3406 (OR)

Professional Counselor: Definition to come...

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About NPI 1083075790

Kelly A. Shields, LPC's National Provider Identifier is 1083075790, issued on Mar 9, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jan 3, 2024.