Healthcare Provider Details

I. General information

NPI: 1013820646
Provider Name (Legal Business Name): CHRISTA MARIE SHEARER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 N ELM ST
ESCONDIDO CA
92025-3431
US

IV. Provider business mailing address

1820 JOHN TOWERS AVE STE C
EL CAJON CA
92020-1146
US

V. Phone/Fax

Practice location:
  • Phone: 619-573-4245
  • Fax:
Mailing address:
  • Phone: 661-754-1005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: