Individual provider · Type 1 NPI

Vivian Tarvin Shields, LCSW

Mental Health Counselor · Jackson, MS

NPI number 1497891121 Active

Practice location

263 Forest Valley Dr
Jackson, MS 39212-3800

Call (601) 371-8937 Map

Mailing address

263 Forest Valley Drive
Jackson, MS 39212

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC0269 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1497891121

Vivian Tarvin Shields, LCSW's National Provider Identifier is 1497891121, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.