Individual provider · Type 1 NPI

Brandy Elaine Shields

Addiction (Substance Use Disorder) Counselor · Perris, CA

NPI number 1992022487 Active

Practice location

2055 N Perris Blvd Ste G
Perris, CA 92571-2509

Call (951) 674-5354 Map

Fax (951) 674-5227

Mailing address

PO Box 549
Lake Elsinore, CA 92531-0549

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992022487

Brandy Elaine Shields's National Provider Identifier is 1992022487, issued on Apr 23, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Perris, CA. The record was last updated on Apr 23, 2010.