Individual provider · Type 1 NPI

Keesha Simone Shine

Counselor · Stockbridge, GA

NPI number 1114513470 Active

Practice location

635 Brents Cv
Stockbridge, GA 30281-6066

Call (404) 981-0581 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114513470

Keesha Simone Shine's National Provider Identifier is 1114513470, issued on Dec 21, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Stockbridge, GA. The record was last updated on Dec 21, 2020.