Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jessica Miranda Shine

Individual provider Professional Counselor · NPI 1922725571

Dr. Jessica Miranda Shine is a Professional Counselor in Augusta, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2967 Clarkston Rd
Augusta, GA 30909-9221
Phone: (470) 645-1541
Fax: (706) 685-1218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1343 Terrell Mill Rd Se Ste 228, Marietta, GA 30067-9472 — (770) 635-8505

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC014201 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence APC008605 (GA)

Record details

NPI number1922725571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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