person
John Phillip Sheridan
Addiction (Substance Use Disorder) Counselor in Clearlake Oaks, California
NPI 1316604218

John Phillip Sheridan is an Addiction (Substance Use Disorder) Counselor based in Lucerne, CA and is specialized in Addiction (Substance Use Disorder). John Phillip Sheridan practices in Clearlake Oaks, CA. The NPI Number for John Phillip Sheridan is 1316604218 and holds a License No. 12464 (California).

The current practice location address for John Phillip Sheridan is 14715 E. Highway 20, Clearlake Oaks, CA and can be reached out via phone at 707-274-5610 and via fax at 707-998-0122.

Location: 14715 E. Highway 20, Clearlake Oaks, CA, 95458-0316
person
Provider Profile Details
NPI Number
1316604218
Provider Name
John Phillip Sheridan
Credential
Provider Entity Type
Individual
Gender
Male
Address
14715 E. Highway 20, Clearlake Oaks, CA, 95458-0316
Phone Number
707-274-5610
Fax Number
707-998-0122
Provider Enumeration Date
11/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14715 E. Highway 20
City
State
Zip
95423-9542
Phone Number
707-274-5610
Fax Number
707-998-0122
person
Provider Business Mailing Address Details
Address
14715 E. Highway 20
City
State
Zip
95423-9542
Phone Number
707-274-5610
Fax Number
707-998-0122
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12464 (California)
Definition
Definition to come...
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