Nicole Antoinette Shields MS, LCPC, QMHP

NPI 1023104940 - Counselor - 101YM0800X

NPI Details
NPI 1023104940
Gender Female
Enumeration Date 10/05/2006
Last Updated 05/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1025 MAINE ST
QUINCY IL, 62301-4038, US
Phone (217) 222-6550
Fax
Business Location
2633 BROOK DRIVE
QUINCY IL, 62301, US
Phone (217) 223-0413
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Nicole Antoinette Shields MS, LCPC, QMHP NPI is 1023104940, taxonomy code is 101YM0800X Nicole Antoinette Shields MS, LCPC, QMHP physically located at 1025 Maine St, Quincy IL, 62301-4038. NPI Number Nicole Antoinette Shields MS, LCPC, QMHP has the Individual type.

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1023104940 NPI number is provided on an as is basis without warranty of any kind. 1023104940 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Antoinette Shields MS, LCPC, QMHP are for informational purposes only.