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NPI Code Detail

MEDICARE: MS. SHERRIN JEAN PACKER-ROSENTHAL LMFT, MSW,ASW, PPSC

MEDICARE:  MS. SHERRIN JEAN PACKER-ROSENTHAL  LMFT, MSW,ASW, PPSC
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
1101YS0200XSchool CounselorCA
2106H00000XMarriage & Family Therapist15529CA
31041C0700XClinical Social WorkerLCSW82041CA

General Provider Information

NPI Number : 1861651861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERRIN JEAN PACKER-ROSENTHAL LMFT, MSW,ASW, PPSC
Provider Business Mailing Address
First Line : 52 LOWER NORTH TER
Second Line :
City : TIBURON
State : CA
Zip : 94920-2018
Country : US
Telephone Number : 415-533-6846
Fax Number :
Provider Business Practice Location Address
First Line : 52 LOWER NORTH TER
Second Line :
City : TIBURON
State : CA
Zip : 94920-2018
Country : US
Telephone Number : 415-533-6846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 06/24/2021

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Directions to “ MS. SHERRIN JEAN PACKER-ROSENTHAL LMFT, MSW,ASW, PPSC” Practice Location

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