Provider Demographics
NPI:1639381585
Name:MARKER, SHEILA JEAN (MA LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:JEAN
Last Name:MARKER
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17590 ILLINOIS COURT
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-9683
Mailing Address - Country:US
Mailing Address - Phone:952-892-6624
Mailing Address - Fax:
Practice Address - Street 1:3000 COUNTY ROAD 42 W STE 310
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4827
Practice Address - Country:US
Practice Address - Phone:952-484-0313
Practice Address - Fax:952-303-4296
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist