Individual
MR. STEPHEN WILLIAM SHIELDS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LMHC LCAC
Contact information
Practice address
5940 CROOKED CREEK DR, CPC LLC, INDIANAPOLIS, IN 46228-1236
(317) 457-2848
(317) 640-2822
Mailing address
5940 CROOKED CREEK DR, CPC LLC, INDIANAPOLIS, IN 46228-1236
(317) 457-2848
(317) 640-2822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
12/26/2013
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