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NPI Code Detail

MEDICARE: MS. SKYE KEELEY-SHEA INNERARITY M.A.

MEDICARE:  MS. SKYE KEELEY-SHEA INNERARITY  M.A.
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
1106H00000XMarriage & Family TherapistIMF84164CA
2106H00000XMarriage & Family Therapist104388CA

General Provider Information

NPI Number : 1750768933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SKYE KEELEY-SHEA INNERARITY M.A.
Provider Business Mailing Address
First Line : 2618 J ST
Second Line : SUITE 2
City : SACRAMENTO
State : CA
Zip : 95816-4360
Country : US
Telephone Number : 916-690-5168
Fax Number :
Provider Business Practice Location Address
First Line : 285 4TH ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3501
Country : US
Telephone Number : 530-662-2699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 09/08/2021

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Directions to “ MS. SKYE KEELEY-SHEA INNERARITY M.A.” Practice Location

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