Individual
JESSICA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ED.S, LPC
Contact information
Practice address
4037 US HIGHWAY 231 STE E, WETUMPKA, AL 36093-1224
(334) 315-5515
Mailing address
4037 US HIGHWAY 231 STE E, WETUMPKA, AL 36093-1224
(334) 315-5515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
03/04/2025
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