Individual
ADRIENNE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3833 S TEXAS AVE STE 104, BRYAN, TX 77802-4000
(979) 315-4705
(979) 431-4963
Mailing address
3833 S TEXAS AVE STE 104, BRYAN, TX 77802-4000
(979) 315-4705
(979) 431-4963
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
17668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525537-02
—
TX
Enumeration date
05/05/2006
Last updated
06/12/2024
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