Individual
SHAWNA SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
933 NE 20TH ST, OKLAHOMA CITY, OK 73105-8211
(405) 924-5079
Mailing address
2008 N DODSON TER, OKLAHOMA CITY, OK 73111-1943
(405) 924-5079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6406
OK
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
03/05/2013
Last updated
07/30/2025
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