MEDICARE: SHERRIE LEIGH SHENKIN MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	10685	CO

General Provider Information

NPI Number	:	1558684357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRIE LEIGH SHENKIN MA

Provider Business Mailing Address
First Line	:	88 INVERNESS CIR E
Second Line	:	SUITE L107
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5304
Country	:	US
Telephone Number	:	303-947-9305
Fax Number	:	720-302-1206

Provider Business Practice Location Address
First Line	:	88 INVERNESS CIR E
Second Line	:	SUITE L107
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5304
Country	:	US
Telephone Number	:	303-947-9305
Fax Number	:	720-302-1206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	03/08/2010

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