Provider Demographics
NPI:1134798804
Name:MORRIS-LOGAN, SHERRY MONIQUE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:MONIQUE
Last Name:MORRIS-LOGAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:MONIQUE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30914 PALETTE RD
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1185
Mailing Address - Country:US
Mailing Address - Phone:951-966-7893
Mailing Address - Fax:
Practice Address - Street 1:975 MORGAN ST
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-3103
Practice Address - Country:US
Practice Address - Phone:951-940-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122950106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist