Doctor Name: | SHERRY JAMES |
NPI Number: | 1881015048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | 2013036404 |
Business Practice Address: | 19953 Highway V Raymondville, MO - 655558101 |
Business Phone Number: | 4172600659 |
Business Fax Number: | |
Mailing Address: | 19953 Highway V, RAYMONDVILLE |
State: | MO |
Postal Code: | 655558101 |
Phone Number: | 4172600659 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 12/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2013036404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |