Shanitta D Hines, in 302 Cherry Lane, CA - Counselor

Shanitta D Hines, is a Counselor - Mental Health based in 302 Cherry Lane, California. Shanitta D Hines is licensed to practice in * (Not Available) (license number ) and her current practice location is Victor Community Support Services, 302 Cherry Lane, California. She can be reached at her office (for appointments etc.) via phone at (209) 647-6200.

NPI number for Shanitta D Hines is 1225640485 and her current mailing address is 9331 Blue Grass Dr, Stockton, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225640485.

Contact Information

	Shanitta D Hines,
	Victor Community Support Services, 302 Cherry Lane, CA 95337
	(209) 647-6200
	Not Available

Healthcare Provider's Profile

Full Name	Shanitta D Hines
Gender	Female
Speciality	Counselor - Mental Health
Location	Victor Community Support Services, 302 Cherry Lane, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1225640485
Provider Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020

Medical Identifiers

Medical identifiers for Shanitta D Hines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225640485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanitta D Hines is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shanitta D Hines, 9331 Blue Grass Dr, Stockton, CA 95210-4449 Ph: (707) 712-1060	Shanitta D Hines, Victor Community Support Services, 302 Cherry Lane, CA 95337 Ph: (209) 647-6200

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Shanitta D Hines, - Counselor in 302 Cherry Lane, CA