Individual
MS. GINA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 WASHINGTON BLVD STE 180, OGDEN, UT 84401-3120
(854) 386-8293
Mailing address
185 W 12TH ST STE D, OGDEN, UT 84404-5522
(801) 889-5692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12735328-6009
UT
Other
Enumeration date
06/27/2017
Last updated
06/28/2025
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