Individual
MS. SHANNON M. PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
593 EDDY STREET HCH 005, PROVIDENCE, RI 02903-4923
(401) 606-5688
(401) 606-5186
Mailing address
E ADMIRALTY DRIVE, 2, MIDDLETOWN, RI 02842
(401) 218-9456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01151
RI
Other
Enumeration date
05/26/2020
Last updated
01/27/2026
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