Organization
EMILY SHIELDS UPPAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SHIELDS UPPAL LICSW (THERAPIST)
(919) 271-8568
Entity
Organization
Contact information
Practice address
113 SUMNER ST, APT 21, BOSTON, MA 02128-2318
(919) 271-8568
Mailing address
113 SUMNER ST, APT 21, BOSTON, MA 02128-2318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/27/2017
Last updated
04/06/2017
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