Individual provider · Type 1 NPI

Jahnavi June Shields, LIC PSYCHIATRIC TECH

Counselor · Santa Rosa, CA

NPI number 1174741185 Active

Practice location

634 Pressley St
Santa Rosa, CA 95404-5526

Call (707) 573-6955 Map

Fax (707) 543-8176

Mailing address

13 Creekwood Sq
Rohnert Park, CA 94928-2781

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPT 15082 (CA)

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 1174741185

Jahnavi June Shields, LIC PSYCHIATRIC TECH's National Provider Identifier is 1174741185, issued on Apr 23, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.