Provider Demographics
NPI:1942808027
Name:SHEARER, RACHEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SHEARER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 LEESE ST.
Mailing Address - Street 2:APT B
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:303-921-3951
Mailing Address - Fax:530-477-9803
Practice Address - Street 1:982 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-6410
Practice Address - Country:US
Practice Address - Phone:415-597-8000
Practice Address - Fax:530-477-9803
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-12
Last Update Date:2022-10-06
Deactivation Date:2022-08-09
Deactivation Code:
Reactivation Date:2022-09-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor