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Ms. Gina Shields
Mental Health Counselor in Bountiful, Utah
NPI 1326568627

Gina Shields is a Mental Health Counselor based in South Weber, UT and is specialized in Mental Health. Gina Shields practices in Bountiful, UT. The NPI Number for Gina Shields is 1326568627 and holds a License No. 12735328-6009 (Utah).

The current practice location address for Gina Shields is 415 Medical Drive, Bountiful, UT and can be reached out via phone at 801-683-1062.

Location: 415 Medical Drive, Bountiful, UT, 84405-9210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326568627
Provider Name
Gina Shields
Credential
Provider Entity Type
Individual
Gender
Female
Address
415 Medical Drive, Bountiful, UT, 84405-9210
Phone Number
801-683-1062
Fax Number
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 Medical Drive
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-683-1062
Fax Number
person
Provider Business Mailing Address Details
Address
415 Medical Drive
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-683-1062
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
12735328-6009 (Utah)
Definition
Definition to come...
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