| Doctor Name: | MR. JAMES MICHAEL SHEERAN |
| NPI Number: | 1003128737 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.P.C. |
| License Number: | 5456 |
| Business Practice Address: | 171 Alder St. Crestone, CO - 811310464 |
| Business Phone Number: | 7195889637 |
| Business Fax Number: | 7192565890 |
| Mailing Address: | 171 Alder St., Casa Del Soul Annex CRESTONE |
| State: | CO |
| Postal Code: | 811310464 |
| Phone Number: | 7195889637 |
| Fax Number: | 7192565890 |
| NPI Enumeration Date: | 07/10/2010 |
| NPI Last Update Date: | 07/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |