Individual
SHERRY BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6945 OLD HIGHWAY 53, CLEARLAKE, CA 95422-9381
(707) 995-9523
Mailing address
5205 2ND ST, KELSEYVILLE, CA 95451-8249
(707) 533-5562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TF0200X
Forensic Psychologist
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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