Individual provider · Type 1 NPI
Killian Drake Shields, QMHP
Counselor · Portland, OR
NPI number
1407206394
Active
Practice location
1650 NE 32nd Ave Apt 418
Portland, OR 97232-3454
Mailing address
8915 SW Center St
Tigard, OR 97223-6307
Other practice locations
- 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 · (541) 883-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Counselor Primary | 101Y00000X | None 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 1407206394
Killian Drake Shields, QMHP's National Provider Identifier is 1407206394, issued on Jun 21, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jun 3, 2022.