Provider Demographics
NPI:1760846588
Name:LEE, SHERIAN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:SHERIAN
Middle Name:
Last Name:LEE
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 1:2310 HOMESTEAD RD STE C1
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-7302
Mailing Address - Country:US
Mailing Address - Phone:408-813-5324
Mailing Address - Fax:
Practice Address - Street 1:22500 CRISTO REY DRIVE
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-2937
Practice Address - Country:US
Practice Address - Phone:408-674-2729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT36851106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist