| Doctor Name: | MR. JEFF SHINAL |
| NPI Number: | 1003086786 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC |
| License Number: | LC2044 |
| Business Practice Address: | 966 Hungerford Dr Suite 14a Rockville, MD - 208501714 |
| Business Phone Number: | 7035851066 |
| Business Fax Number: | 7037714022 |
| Mailing Address: | 311 Lawford Dr Sw, Suite 14a LEESBURG |
| State: | VA |
| Postal Code: | 20175 |
| Phone Number: | 7035851066 |
| Fax Number: | 7037714022 |
| NPI Enumeration Date: | 03/10/2008 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC2044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |