Doctor Name: | MS. SHEILA ANNE FELLOWS |
NPI Number: | 1134284995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 17353 |
Business Practice Address: | 131 Kelly Ave Half Moon Bay, CA - 940191629 |
Business Phone Number: | 6507285418 |
Business Fax Number: | 6507285418 |
Mailing Address: | Po Box 370995, MONTARA |
State: | CA |
Postal Code: | 940370995 |
Phone Number: | 6507285418 |
Fax Number: | 6507285418 |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS 17353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |