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NPI Code Detail

MEDICARE: SHERRY SILVA RAS

MEDICARE: SHERRY SILVA RAS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorS0405211203CA

General Provider Information

NPI Number : 1710311956
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY SILVA RAS
Provider Business Mailing Address
First Line : 139 FORD ST
Second Line :
City : UKIAH
State : CA
Zip : 95482-4011
Country : US
Telephone Number : 707-462-6290
Fax Number : 707-462-6427
Provider Business Practice Location Address
First Line : 201 BRUSH ST
Second Line :
City : UKIAH
State : CA
Zip : 95482-3424
Country : US
Telephone Number : 707-462-6290
Fax Number : 707-462-6427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 08/23/2013

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Directions to “ SHERRY SILVA RAS” Practice Location

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