Individual provider · Type 1 NPI
Russell P. Shields
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1336385160
Active
Practice location
1430 Neotomas Ave
Santa Rosa, CA 95405-7575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336385160
Russell P. Shields's National Provider Identifier is 1336385160, issued on Dec 29, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 19, 2014.