JILL AMY SHELDON MFTI NPI 1194808196

NPI Information

NPI: 1194808196
Provider Name: JILL AMY SHELDON, MFTI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-5700
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Jill Amy Sheldon, MFTI is a mental health counselor in San Rafael, CA. Jill Amy Sheldon, MFTI NPI is 1194808196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903-680
Phone: (415) 491-5700
Fax: (415) 491-5750

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	IMF 46302	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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