Individual provider · Type 1 NPI

John J. Shields, C.A.D.C.

Addiction (Substance Use Disorder) Counselor · Loyalton, CA

NPI number 1306040563 Active

Practice location

704 Mill St.
Loyalton, CA 96118-0265

Fax (530) 993-6759

Mailing address

PO Box 79
Virginia City, NV 89440-0079

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X526I (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306040563

John J. Shields, C.A.D.C.'s National Provider Identifier is 1306040563, issued on Jun 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Loyalton, CA. The record was last updated on Aug 5, 2009.