Shanitta D Hines, - Counselor in 302 Cherry Lane, CA

Shanitta D Hines, is a Counselor - Mental Health based in 302 Cherry Lane, California. Shanitta D Hines is licensed to practice in * (Not Available) (license number ) and her current practice location is Victor Community Support Services, 302 Cherry Lane, California. She can be reached at her office (for appointments etc.) via phone at (209) 647-6200.

NPI number for Shanitta D Hines is 1225640485 and her current mailing address is 9331 Blue Grass Dr, Stockton, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225640485.

Contact Information

Shanitta D Hines,
Victor Community Support Services,
302 Cherry Lane, CA 95337
(209) 647-6200
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShanitta D Hines
GenderFemale
SpecialityCounselor - Mental Health
LocationVictor Community Support Services, 302 Cherry Lane, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225640485
  • Provider Enumeration Date: 08/19/2020
  • Last Update Date: 08/19/2020

Medical Identifiers

Medical identifiers for Shanitta D Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225640485NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanitta D Hines is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanitta D Hines,
9331 Blue Grass Dr,
Stockton, CA 95210-4449

Ph: (707) 712-1060
Shanitta D Hines,
Victor Community Support Services,
302 Cherry Lane, CA 95337

Ph: (209) 647-6200

Reviews and Comments


Counselor in 302 Cherry Lane, CA


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