Provider Demographics
NPI:1306004197
Name:TURNER-AUGUST, SHEENA MARIE (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:SHEENA
Middle Name:MARIE
Last Name:TURNER-AUGUST
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:MRS
Other - First Name:SHEENA
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:35 E 10TH ST STE L
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-4083
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35 E 10TH ST STE L
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4083
Practice Address - Country:US
Practice Address - Phone:209-666-1003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF56667101YM0800X
CA51087106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health