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Shane T Sheridan
Mental Health Counselor in Alameda, California
NPI 1730434531

Shane T Sheridan is a Mental Health Counselor based in Alameda, CA and is specialized in Mental Health. Shane T Sheridan practices in Alameda, CA. The NPI Number for Shane T Sheridan is 1730434531 and holds a License No. (California).

The current practice location address for Shane T Sheridan is 2325 Clement Ave, Alameda, CA and can be reached out via phone at 510-629-6300.

Location: 2325 Clement Ave, Alameda, CA, 94501-7061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730434531
Provider Name
Shane T Sheridan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2325 Clement Ave, Alameda, CA, 94501-7061
Phone Number
510-629-6300
Fax Number
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8121 05 CA
institution
Provider Business Practice Location Address Details
Address
2325 Clement Ave
City
Alameda
State
California
Zip
94501-7061
Phone Number
510-629-6300
Fax Number
person
Provider Business Mailing Address Details
Address
2325 Clement Ave
City
Alameda
State
California
Zip
94501-7061
Phone Number
510-629-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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