SHANTAY MINES

SAN JOSE, CA
NPI1083051544
Professional NameSHAWN MINES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: NC  LMFTA #9001A)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  124011)
106H00000X Marriage & Family Therapist
(Licence: FL  IMT2104)
Enumeration Date2013-05-23
Last Update Date2021-08-24
Business Address
Mr. SHANTAY MINES Ed.S, LMFT
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-287-6200
Mailing Address
Mr. SHANTAY MINES Ed.S, LMFT
680 EPIC WAY APT 123
SAN JOSE, CA 95134-2836
Phone number: 862-204-9364