| Sherice Marie Dehart, | |
|
420 E Canal Dr, Turlock, CA 95380-3936 | |
| (209) 669-2583 | |
| Not Available |
| Full Name | Sherice Marie Dehart |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 420 E Canal Dr, Turlock, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538409750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Sherice Marie Dehart, 139 W Minnesota Ave, Apt J 101, Turlock, CA 95382-1715 Ph: (209) 409-7423 | Sherice Marie Dehart, 420 E Canal Dr, Turlock, CA 95380-3936 Ph: (209) 669-2583 |
Mark Constantine Evanoff, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 W Linwood Ave, Turlock, CA 95380 Phone: 209-667-9047 | |
Lucia Alfaro, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3025 W Christoffersen Pkwy Apt K206, Turlock, CA 95382 Phone: 209-277-2685 | |
Brianne Duran, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2282 Doo Ct, Turlock, CA 95382 Phone: 805-452-1896 | |
Samuel Rangel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Canal Dr, Turlock, CA 95380 Phone: 209-277-9653 | |
Brian Adams, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 2513 Youngstown Rd, Turlock, CA 95380 Phone: 209-918-1235 | |
Mrs. Samantha Carballo Austin, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 Geer Rd Ste 120, Turlock, CA 95382 Phone: 209-664-0844 | |
Diana Harrison, MSW LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 N Thor St Ste C, Turlock, CA 95380 Phone: 209-213-1928 Fax: 833-704-1889 |