Individual provider · Type 1 NPI
Shanitta D. Hines
Mental Health Counselor · 302 Cherry Lane, CA
NPI number
1225640485
Active
Practice location
Victor Community Support Services
302 Cherry Lane, CA 95337
Mailing address
9331 Blue Grass Dr
Stockton, CA 95210-4449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1225640485
Shanitta D. Hines's National Provider Identifier is 1225640485, issued on Aug 19, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in 302 Cherry Lane, CA. The record was last updated on Aug 19, 2020.