Provider Demographics
NPI:1760523732
Name:MOLLER, SHEILA ANNE (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ANNE
Last Name:MOLLER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 HAGEMANN DR
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-6018
Mailing Address - Country:US
Mailing Address - Phone:925-373-7022
Mailing Address - Fax:925-449-1937
Practice Address - Street 1:326 S L ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4412
Practice Address - Country:US
Practice Address - Phone:925-373-7022
Practice Address - Fax:925-449-1937
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health