Provider Demographics
NPI:1053736215
Name:SHERK, JOHN BOYCE (LMFT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:BOYCE
Last Name:SHERK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5266 HOLLISTER AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-4041
Mailing Address - Country:US
Mailing Address - Phone:805-453-9709
Mailing Address - Fax:
Practice Address - Street 1:5266 HOLLISTER AVE STE 215
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-4041
Practice Address - Country:US
Practice Address - Phone:805-453-9709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT77634106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist