NPI 1275052896 · live from the CMS NPI Registry
Noah Shields
Marriage & Family Therapist in Soldotna, AK. National Provider Identifier 1275052896, active.
NPI record
| NPI | 1275052896 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 161 Farnsworth Blvd, Soldotna, AK 99669 |
| Practice phone | 907-252-9082 |
| Mailing address | 51219 Polaris Way, Kenai, AK 99611 |
| Enumerated | September 14, 2017 |
| Last updated | March 11, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 798 (AK) |
| Marriage & Family Therapist primary | 106H00000X | 277 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.