Individual
KEEGAN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
2220 REMINGTON WAY APT 217, BOZEMAN, MT 59718-5455
(605) 877-2048
Mailing address
PO BOX 3234, BOZEMAN, MT 59772-3234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-63303
MT
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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