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Individual
SHAKINA SMALL
Active
Individual
SHAKINA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, LBC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
PC016304
PA
Other
Enumeration date
05/15/2022
Last updated
10/31/2023
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