Individual provider · Type 1 NPI

Sara Shine

Mental Health Counselor · Jamaica Plain, MA

NPI number 1144429028 Active

Practice location

1125 Centre St, St Italian Home
Jamaica Plain, MA 02130-3445

Fax (617) 254-3461

Mailing address

77B Warren St, Bamha
Brighton, MA 02135

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144429028

Sara Shine's National Provider Identifier is 1144429028, issued on Jul 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 12, 2007.