Individual
COURTNEY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-ASSOCIATE
Contact information
Practice address
5580 PETERSON LN STE 150, DALLAS, TX 75240-5296
(469) 409-0322
Mailing address
875 DARTFORD DR, WINDSOR, CO 80550-2661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
86368
TX
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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