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NPI Code Detail

MEDICARE: MS. SHERIDAN ADAMS MFT

MEDICARE:  MS. SHERIDAN  ADAMS  MFT
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 CounselorMFC25286CA

General Provider Information

NPI Number : 1649286055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERIDAN ADAMS MFT
Provider Business Mailing Address
First Line : 2424 DWIGHT WAY
Second Line : #7
City : BERKELEY
State : CA
Zip : 94704-2365
Country : US
Telephone Number : 510-845-4990
Fax Number :
Provider Business Practice Location Address
First Line : 2424 DWIGHT WAY
Second Line : #7
City : BERKELEY
State : CA
Zip : 94704-2365
Country : US
Telephone Number : 510-845-4990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ MS. SHERIDAN ADAMS MFT” Practice Location

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