Individual
DR. SHANELLE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH, D., LPC
Contact information
Practice address
222 VARNFIELD DR, SUMMERVILLE, SC 29483-7331
(843) 324-2828
Mailing address
8583 BAYBORO LN, NORTH CHARLESTON, SC 29420-7103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7051
—
Other
Enumeration date
12/11/2018
Last updated
02/13/2019
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