Individual provider · Type 1 NPI

Jessica Nicole Shine, PhD

Mental Health Counselor · Bremerton, WA

NPI number 1306990551 Active

Practice location

900 Sheridan Rd, Suite 106
Bremerton, WA 98310-2701

Call (360) 415-5866 Map

Fax (360) 415-5886

Mailing address

5455 Almira Dr SE
Bremerton, WA 98311-8330

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00054256 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1306990551

Jessica Nicole Shine, PhD's National Provider Identifier is 1306990551, issued on Jan 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bremerton, WA. The record was last updated on Jul 8, 2007.