Individual provider · Type 1 NPI

Madison Shields

Professional Counselor · Santa Rosa, CA

NPI number 1285318527 Active

Practice location

1160 N Dutton Ave Ste 230
Santa Rosa, CA 95401-4658

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X22186 (CA)

Professional Counselor: Definition to come...

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About NPI 1285318527

Madison Shields's National Provider Identifier is 1285318527, issued on Jun 14, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 13, 2026.