Individual
ELIZABETH SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 W 14TH ST STE 200, WASHINGTON, MO 63090-4198
(636) 432-1992
Mailing address
901 W 14TH ST STE 200, WASHINGTON, MO 63090-4198
(636) 432-1992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013042656
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/30/2012
Last updated
08/11/2023
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