Individual
CARLY SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3842
(619) 275-0822
Mailing address
1202 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3842
(619) 275-0822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109245
CA
Other
Enumeration date
10/22/2018
Last updated
12/12/2023
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