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NPI Code Detail

MEDICARE: ALLISON FAUCHER SHERMAN

MEDICARE: ALLISON FAUCHER SHERMAN
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional CounselorC5512OR

General Provider Information

NPI Number : 1851835540
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON FAUCHER SHERMAN
Provider Business Mailing Address
First Line : 2577 NE COURTNEY DR
Second Line :
City : BEND
State : OR
Zip : 97701-7638
Country : US
Telephone Number : 541-322-7500
Fax Number : 541-322-7565
Provider Business Practice Location Address
First Line : 406 W ANTLER AVE
Second Line :
City : REDMOND
State : OR
Zip : 97756-1812
Country : US
Telephone Number : 541-322-7414
Fax Number : 541-316-2268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2016
Last Update Date : 11/06/2019

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Directions to “ ALLISON FAUCHER SHERMAN ” Practice Location

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