Individual
DR. ANTWYNETTE BRINKLEY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPC, LPC, NCC, CMHT
Contact information
Practice address
32103 MAJESTY LN, BRANDON, MS 39042-2599
(228) 563-4670
Mailing address
280 TELEVISION RD, COLUMBUS, MS 39705-8006
(228) 563-4670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2246
MS
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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