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Individual

SHEENA HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
30 ELIZABETH ST, DERBY, CT 06418
(203) 954-0543
Mailing address
30 ELIZABETH ST, DERBY, CT 06418-1869

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005625
CT
101YM0800X
Mental Health Counselor
Primary
PRC14843
DC

Other

Enumeration date
04/03/2017
Last updated
03/13/2026
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