Individual
SHEA PINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
267 KENTLANDS BLVD # 4071, GAITHERSBURG, MD 20878-5446
(832) 885-7956
Mailing address
6431 MAJESTIC WAY, HENRICO, VA 23231-5270
(832) 885-7956
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717002491
VA
106H00000X
Marriage & Family Therapist
Primary
LCM1132
MD
106H00000X
Marriage & Family Therapist
Primary
LGM974
MD
Other
Enumeration date
08/23/2023
Last updated
05/01/2026
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