Individual
JENNIFER DENISE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 BRICKERTON ST, COLUMBUS, MS 39701-3608
(662) 570-1109
Mailing address
102 BRICKERTON ST, COLUMBUS, MS 39701-3608
(662) 570-1109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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