MEDICARE: MRS. SHEILA JEAN MARKER M.A.. LMFT

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	106H00000X	Marriage & Family Therapist	1467	MN

General Provider Information

NPI Number	:	1639381585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEILA JEAN MARKER M.A.. LMFT

Provider Business Mailing Address
First Line	:	17590 ILLINOIS COURT
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-9683
Country	:	US
Telephone Number	:	952-892-6624
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 COUNTY ROAD 42 W STE 310
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-4827
Country	:	US
Telephone Number	:	952-484-0313
Fax Number	:	952-303-4296

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	04/26/2018

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