SHANE T SHERIDAN

ALAMEDA, CA
NPI1730434531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-07-17
Last Update Date2012-07-17
Business Address
-- SHANE T SHERIDAN
2325 CLEMENT AVE
ALAMEDA, CA 94501-7061
Phone number: 510-629-6300
Mailing Address
-- SHANE T SHERIDAN
2325 CLEMENT AVE
ALAMEDA, CA 94501-7061
Phone number: 510-629-6300