ANGELA JEANNE SHENEFELT - NPI NUMBER 1396184867

Summary

Provider Name: ANGELA JEANNE SHENEFELT

NPI Number: 1396184867

Clasification: Counselor (101YM0800X)

Specialization: Mental Health

Address:
950 W JULIAN ST
SAN JOSE, CA
ZIP 95126

Phone Number: (408) 292-9353



Detailed Information

Angela Jeanne Shenefelt is a mental health counselor in San Jose, CA. The assigned NPI number for this provider is 1396184867 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

950 W JULIAN ST
SAN JOSE, CA
ZIP 95126-719
Phone: (408) 292-9353

The enumeration date for this NPI number is 6/18/2013 and was last updated on 6/18/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101YM0800X Counselor Mental Health Yes

NPI Record

No. Field Name Field Value
1 NPI 1396184867
2 Entity Type Code 1
3 Provider Last Name Legal Name SHENEFELT
4 Provider First Name ANGELA
5 Provider Middle Name JEANNE
6 Provider First Line Business Practice Location Address 950 W JULIAN ST
7 Provider Business Practice Location Address City Name SAN JOSE
8 Provider Business Practice Location Address State Name CA
9 Provider Business Practice Location Address Postal Code 951262719
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 4082929353
12 Provider Enumeration Date 6/18/2013
13 Last Update Date 6/18/2013
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 101YM0800X
16 Healthcare Provider Primary Taxonomy Switch 1 Y
17 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.