Individual
MICAH JOEL SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ALC
Contact information
Practice address
7800 MADISON BLVD STE 301, HUNTSVILLE, AL 35806-3671
(256) 384-5335
Mailing address
365 SHELTON RD APT 120, MADISON, AL 35758-1935
(205) 706-8852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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