Provider Demographics
NPI:1275673964
Name:HESS, SHERI KAY (MFC42091)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:KAY
Last Name:HESS
Suffix:
Gender:F
Credentials:MFC42091
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 WEST BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101
Mailing Address - Country:US
Mailing Address - Phone:866-478-3918
Mailing Address - Fax:
Practice Address - Street 1:5680 LEITRIM CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8648
Practice Address - Country:US
Practice Address - Phone:925-757-7969
Practice Address - Fax:925-522-0133
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAMFT42091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health