Individual
ALTON SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CAC III
Contact information
Practice address
1330 S POTOMAC ST, AURORA, CO 80012-4527
(303) 282-2657
Mailing address
1330 S POTOMAC ST, AURORA, CO 80012-4527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0005055
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005055
ADDICTIONS CERTIFIED COUNSELOR III
CO
Enumeration date
09/22/2014
Last updated
09/22/2014
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