person
Jerry Alan Shields
Mental Health Counselor in Santa Rosa, California
NPI 1982239901

Jerry Alan Shields is a Mental Health Counselor based in Rohnert Park, CA and is specialized in Mental Health. Jerry Alan Shields practices in Santa Rosa, CA. The NPI Number for Jerry Alan Shields is 1982239901 and holds a License No. (California).

The current practice location address for Jerry Alan Shields is 1550 N Dutton Ave, Santa Rosa, CA and can be reached out via phone at 707-236-6696 and via fax at 707-236-6695.

Location: 1550 N Dutton Ave, Santa Rosa, CA, 94928-2316
person
Provider Profile Details
NPI Number
1982239901
Provider Name
Jerry Alan Shields
Credential
Provider Entity Type
Individual
Gender
Male
Address
1550 N Dutton Ave, Santa Rosa, CA, 94928-2316
Phone Number
707-236-6696
Fax Number
707-236-6695
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1550 N Dutton Ave
City
State
Zip
95401-4601
Phone Number
707-236-6696
Fax Number
707-236-6695
person
Provider Business Mailing Address Details
Address
1550 N Dutton Ave
City
State
Zip
95401-4601
Phone Number
707-236-6696
Fax Number
707-236-6695
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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