MEDICARE: MRS. GLORIA OSBORNE-SHEELER LCSW

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

General Provider Information

NPI Number	:	1093002883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GLORIA OSBORNE-SHEELER LCSW

Provider Business Mailing Address
First Line	:	501 E SANTA ANITA AVE APT 211
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91501-2922
Country	:	US
Telephone Number	:	310-933-7627
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 N 3RD ST # 359
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1202
Country	:	US
Telephone Number	:	310-933-7627
Fax Number	:

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

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	09/06/2022

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