Individual
MS. RHONDA ROCHELLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
176 PEACH LN, FORT SUMNER, NM 88119-9018
(505) 269-4155
Mailing address
176 PEACH LN, FORT SUMNER, NM 88119-9018
(505) 269-4155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0104691
NM
101YP2500X
Professional Counselor
0132951
NM
101YP2500X
Professional Counselor
Primary
CCMH0132951
NM
101YP2500X
Professional Counselor
T-0130211
NM
Other
Enumeration date
01/25/2010
Last updated
04/15/2021
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