Individual provider · Type 1 NPI

Charles H. Shields, THERAPIST

Counselor · Bentonville, AR

NPI number 1114170057 Active

Practice location

2003 SE Walton Blvd
Bentonville, AR 72712-3725

Call (479) 464-5925 Map

Fax (479) 521-6520

Mailing address

3352 N Futrall Dr
Fayetteville, AR 72703-4057

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114170057

Charles H. Shields, THERAPIST's National Provider Identifier is 1114170057, issued on Oct 23, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bentonville, AR. The record was last updated on Oct 23, 2008.