Provider Demographics
NPI:1336921568
Name:SHERMAN, JONI ROSALINE (QMHP-R)
Entity Type:Individual
Prefix:MS
First Name:JONI
Middle Name:ROSALINE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:QMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 SHADOW RANCH LN
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-1158
Mailing Address - Country:US
Mailing Address - Phone:509-932-7669
Mailing Address - Fax:
Practice Address - Street 1:1850 BAILEY HILL RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-1144
Practice Address - Country:US
Practice Address - Phone:541-790-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool