| Mark Randall Shields, MED, LPC, CRAADC | |
|
1303 Edgewood Dr, Jefferson City, MO 65109-1943 | |
| (573) 529-9496 | |
| Not Available |
| Full Name | Mark Randall Shields |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1303 Edgewood Dr, Jefferson City, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598268781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 511 (Missouri) | Secondary |
| 101YM0800X | Counselor - Mental Health | CS001167 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Randall Shields, MED, LPC, CRAADC 803 Cardinal St, Jefferson City, MO 65101-3750 Ph: (573) 529-9496 | Mark Randall Shields, MED, LPC, CRAADC 1303 Edgewood Dr, Jefferson City, MO 65109-1943 Ph: (573) 529-9496 |
Ms. Alane Elizabeth Roath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Stephen Dittmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Susan Diane Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Metro Dr Ste B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Rhonda Karyl Myers, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 204 Metro Dr, Suite B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Adam Hatton, Counselor Medicare: Medicare Enrolled Practice Location: 210 Hoover St, Jefferson City, MO 65109 Phone: 573-632-4321 | |
Chloe Payton Rimer, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Stadium Blvd, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Gail R Black, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2202 Marilyn Dr, Jefferson City, MO 65109 Phone: 573-469-5263 |