person
Mark Randall Shields, MED,LPC,CRAADC
Mental Health Counselor in Jefferson City, Missouri
NPI 1598268781

Mark Randall Shields is a Mental Health Counselor based in Jefferson City, MO and is specialized in Mental Health. Mark Randall Shields practices in Jefferson City, MO and has the professional credentials of MED,LPC,CRAADC. The NPI Number for Mark Randall Shields is 1598268781 and holds a License No. 511 (Missouri).

The current practice location address for Mark Randall Shields is 1303 Edgewood Dr, Jefferson City, MO and can be reached out via phone at 573-529-9496. You can also correspond with Mark Randall Shields through the mailing address at 803 CARDINAL ST, JEFFERSON CITY, MO - 65101-3750 (mailing address contact number: 573-529-9496).

Location: 1303 Edgewood Dr, Jefferson City, MO, 65101-3750
person
Provider Profile Details
NPI Number
1598268781
Provider Name
Mark Randall Shields
Credential
MED,LPC,CRAADC
Provider Entity Type
Individual
Gender
Male
Address
1303 Edgewood Dr, Jefferson City, MO, 65101-3750
Phone Number
573-529-9496
Fax Number
Provider Enumeration Date
03/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1303 Edgewood Dr
City
State
Zip
65109-1943
Phone Number
573-529-9496
Fax Number
person
Provider Business Mailing Address Details
Address
1303 Edgewood Dr
City
State
Zip
65109-1943
Phone Number
573-529-9496
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CS001167 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
511 (Missouri)
Definition
Definition to come...
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