Provider Demographics
NPI:1538654629
Name:SHERSHUN, ERIKA (MA, MFT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SHERSHUN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 CALIFORNIA ST STE 660
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-1845
Mailing Address - Country:US
Mailing Address - Phone:415-570-9409
Mailing Address - Fax:
Practice Address - Street 1:465 CALIFORNIA ST STE 660
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-1845
Practice Address - Country:US
Practice Address - Phone:415-570-9409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-30
Last Update Date:2018-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist