JESSICA MIRANDA SHINE

AUGUSTA, GA
NPI1922725571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC014201)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: GA  APC008605)
Enumeration Date2022-10-25
Last Update Date2023-10-11
Business Address
Dr. JESSICA MIRANDA SHINE
2967 CLARKSTON RD
AUGUSTA, GA 30909-9221
Phone number: 470-645-1541
Mailing Address
Dr. JESSICA MIRANDA SHINE
2967 CLARKSTON RD
AUGUSTA, GA 30909-9221
Phone number: