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1306990551
JESSICA NICOLE SHINE
BREMERTON, WA
NPI
1306990551
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Former Name
JESSICA NICOLE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00054256)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
-- JESSICA NICOLE SHINE PhD
900 SHERIDAN RD SUITE 106
BREMERTON, WA 98310-2701
Phone number: 360-415-5866
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Mailing Address
-- JESSICA NICOLE SHINE PhD
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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