Provider Demographics
NPI:1134298102
Name:PLUMMER-RAPHAEL, SHERI (MFT)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:
Last Name:PLUMMER-RAPHAEL
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 1:412 SANTA YNEZ WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3422
Mailing Address - Country:US
Mailing Address - Phone:916-308-0726
Mailing Address - Fax:
Practice Address - Street 1:418 ALHAMBRA BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3362
Practice Address - Country:US
Practice Address - Phone:916-308-0726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 53911101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health