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Individual
KIMBERLY C SHIELDS
Active
Individual
KIMBERLY C SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-87655
MT
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-71017
MT
Other
Enumeration date
05/22/2024
Last updated
01/12/2026
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