NICOLE ANTOINETTE SHIELDS

QUINCY, IL
NPI1023104940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180006745)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2006-10-05
Last Update Date2014-05-29
Business Address
-- NICOLE ANTOINETTE SHIELDS MS, LCPC, QMHP
1025 MAINE ST
QUINCY, IL 62301-4038
Phone number: 217-222-6550
Mailing Address
-- NICOLE ANTOINETTE SHIELDS MS, LCPC, QMHP
2633 BROOK DRIVE
QUINCY, IL 62301
Phone number: 217-223-0413