| Mr John J Shields, CADC | |
|
704 Mill St., Loyalton, CA 96118-0265 | |
| (530) 993-6714 | |
| (530) 993-6759 |
| Full Name | Mr John J Shields |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 704 Mill St., Loyalton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306040563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 526I (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John J Shields, CADC Po Box 79, Virginia City, NV 89440-0079 Ph: (775) 847-7131 | Mr John J Shields, CADC 704 Mill St., Loyalton, CA 96118-0265 Ph: (530) 993-6714 |
Aubree Christene Fae Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Mill Street, Loyalton, CA 96118 Phone: 530-993-6765 | |
Robert Walter Szopa, CAADAC RS Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Mill St, Loyalton, CA 96118 Phone: 530-993-6746 Fax: 530-993-6759 | |
Mr. Earl Daniel Henson Jr., CAODC Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Mill Street, Loyalton, CA 96118 Phone: 530-993-6746 Fax: 530-993-6759 |