Individual
NATHANIEL MARTIN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 HUNDERTMARK RD STE 205N, CHASKA, MN 55318-1586
(612) 274-7532
(952) 426-3856
Mailing address
111 HUNDERTMARK RD STE 205N, CHASKA, MN 55318-1586
(612) 274-7532
(952) 426-3856
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02597
MN
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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