Individual provider · Type 1 NPI

Ivan Fields

Counselor · Riverdale, GA

NPI number 1255880654 Active

Practice location

7109 Greystone Dr
Riverdale, GA 30296-2256

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 1255880654

Ivan Fields's National Provider Identifier is 1255880654, issued on Sep 26, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Riverdale, GA. The record was last updated on Sep 26, 2016.