Individual provider · Type 1 NPI

Jerry Alan Shields

Mental Health Counselor · Santa Rosa, CA

NPI number 1982239901 Active

Practice location

1550 N Dutton Ave
Santa Rosa, CA 95401-4601

Call (707) 236-6696 Map

Fax (707) 236-6695

Mailing address

131 Madrigal St
Rohnert Park, CA 94928-2316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982239901

Jerry Alan Shields's National Provider Identifier is 1982239901, issued on Mar 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 10, 2020.