person
Kenneth L. Shields, LMHC
Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana
NPI 1548267743

Kenneth L. Shields is an Addiction (Substance Use Disorder) Counselor based in Fort Wayne, IN and is specialized in Addiction (Substance Use Disorder). Kenneth L. Shields practices in Fort Wayne, IN and has the professional credentials of LMHC. The NPI Number for Kenneth L. Shields is 1548267743 and holds a License No. 39001242A (Indiana).

The current practice location address for Kenneth L. Shields is 11104 Parkview Circle Dr, Fort Wayne, IN and can be reached out via phone at 260-460-3203 and via fax at 260-460-3130.

Location: 11104 Parkview Circle Dr, Fort Wayne, IN, 46845-1730
person
Provider Profile Details
NPI Number
1548267743
Provider Name
Kenneth L. Shields
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
11104 Parkview Circle Dr, Fort Wayne, IN, 46845-1730
Phone Number
260-460-3203
Fax Number
260-460-3130
Provider Enumeration Date
07/01/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11104 Parkview Circle Dr
City
State
Zip
46845-1730
Phone Number
260-460-3203
Fax Number
260-460-3130
person
Provider Business Mailing Address Details
Address
11104 Parkview Circle Dr
City
State
Zip
46845-1730
Phone Number
260-460-3203
Fax Number
260-460-3130
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
87001425A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39001242A (Indiana)
Definition
Definition to come...
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