Individual
DERICK SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1799 STUMPF BLVD BLDG 3, STE 4B, TERRYTOWN, LA 70056-3950
(504) 407-0755
Mailing address
1948 HOLIDAY DR, NEW ORLEANS, LA 70114-3455
(504) 421-2810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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