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Ms. Jahnavi June Shields, LICPSYCHIATRICTECH
Counselor in Santa Rosa, California
NPI 1174741185

Jahnavi June Shields is a Counselor based in Rohnert Park, CA. Jahnavi June Shields practices in Santa Rosa, CA and has the professional credentials of LICPSYCHIATRICTECH. The NPI Number for Jahnavi June Shields is 1174741185 and holds a License No. PT 15082 (California).

The current practice location address for Jahnavi June Shields is 634 Pressley St, Santa Rosa, CA and can be reached out via phone at 707-573-6955 and via fax at 707-543-8176.

Location: 634 Pressley St, Santa Rosa, CA, 94928-2781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174741185
Provider Name
Jahnavi June Shields
Credential
LICPSYCHIATRICTECH
Provider Entity Type
Individual
Gender
Female
Address
634 Pressley St, Santa Rosa, CA, 94928-2781
Phone Number
707-573-6955
Fax Number
707-543-8176
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811 01 CA COUNSELOR
institution
Provider Business Practice Location Address Details
Address
634 Pressley St
City
Santa Rosa
State
California
Zip
95404-5526
Phone Number
707-573-6955
Fax Number
707-543-8176
person
Provider Business Mailing Address Details
Address
634 Pressley St
City
Santa Rosa
State
California
Zip
95404-5526
Phone Number
707-573-6955
Fax Number
707-543-8176
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
PT 15082 (California)
Definition
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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