Individual
NOAH SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 FARNSWORTH BLVD, SOLDOTNA, AK 99669-7602
(907) 252-9082
Mailing address
51219 POLARIS WAY, KENAI, AK 99611-8742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
798
AK
106H00000X
Marriage & Family Therapist
Primary
277
AK
Other
Enumeration date
09/14/2017
Last updated
03/11/2020
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