Individual provider · Type 1 NPI

Candice Shields

Counselor · Centralia, IL

NPI number 1538099528 Active

Practice location

904 E Martin Luther King Dr
Centralia, IL 62801-3058

Fax (618) 533-0012

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 1538099528

Candice Shields's National Provider Identifier is 1538099528, issued on May 21, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Centralia, IL. The record was last updated on May 21, 2026.