| Peter Sholley Mft | |
|
651 Cherry St Santa Rosa CA 95404-4202 | |
| (415) 820-3969 | |
| Not Available |
| Full Name | Peter Sholley Mft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 651 Cherry St, Santa Rosa, California |
| Authorized Official Name and Position | Peter N Sholley (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4158203969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Sholley Mft 779 Summerfield Rd Santa Rosa CA 95405-7103 Ph: () - | Peter Sholley Mft 651 Cherry St Santa Rosa CA 95404-4202 Ph: (415) 820-3969 |
| NPI Number | 1356733257 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356733257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFCC# 53511 (California) | Primary |
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