Individual
MR. RAYMOND C. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
813 W ELLIOT RD STE 3, CHANDLER, AZ 85225-1887
(602) 274-4479
(602) 274-4496
Mailing address
813 W ELLIOT RD STE 3, CHANDLER, AZ 85225-1887
(602) 274-4479
(602) 274-4496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC10164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC10164
LICENSED COUNSELOR
AZ
Enumeration date
07/19/2006
Last updated
07/08/2007
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