Individual provider · Type 1 NPI
Samara Shields
Counselor · Tyler, TX
NPI number
1386389369
Active
Practice location
1306 S Glenwood Blvd
Tyler, TX 75701-2740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 73938 (TX) |
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 1386389369
Samara Shields's National Provider Identifier is 1386389369, issued on May 3, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tyler, TX. The record was last updated on May 3, 2022.