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Kevin Adam Sheridan
Peer Specialist in Tarzana, California
NPI 1407622988

Kevin Adam Sheridan is a Peer Specialist based in Tarzana, CA. Kevin Adam Sheridan practices in Tarzana, CA. The NPI Number for Kevin Adam Sheridan is 1407622988 and holds a License No. (California).

The current practice location address for Kevin Adam Sheridan is 18646 Oxnard St, Tarzana, CA and can be reached out via phone at 818-996-1051.

Location: 18646 Oxnard St, Tarzana, CA, 91356-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407622988
Provider Name
Kevin Adam Sheridan
Credential
Provider Entity Type
Individual
Gender
Male
Address
18646 Oxnard St, Tarzana, CA, 91356-1411
Phone Number
818-996-1051
Fax Number
Provider Enumeration Date
11/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18646 Oxnard St
City
Tarzana
State
California
Zip
91356-1411
Phone Number
818-996-1051
Fax Number
person
Provider Business Mailing Address Details
Address
18646 Oxnard St
City
Tarzana
State
California
Zip
91356-1411
Phone Number
818-996-1051
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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