RAVEN MICHAELA SHIELDS

CORBIN, KY
NPI1275097495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-01-23
Last Update Date2019-01-23
Business Address
RAVEN MICHAELA SHIELDS BS MHA
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
RAVEN MICHAELA SHIELDS BS MHA
1585 KY 3437
GRAY, KY 40734-6548
Phone number: 606-344-0113