Individual provider · Type 1 NPI

Madison Shields

Mental Health Counselor · San Luis Obispo, CA

NPI number 1255520193 Active

Practice location

3765 S Higuera St Ste 100
San Luis Obispo, CA 93401-1577

Call (805) 781-3535 Map

Mailing address

433 Stagecoach Rd
Arroyo Grande, CA 93420-2335

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255520193

Madison Shields's National Provider Identifier is 1255520193, issued on Oct 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 16, 2007.