Provider Demographics
NPI:1831602614
Name:WASHINGTON, SHELIA LYNN
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:LYNN
Last Name:WASHINGTON
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 1:5600 RICKENBACKER RD BLDG 2AB
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-6694
Mailing Address - Country:US
Mailing Address - Phone:323-263-1206
Mailing Address - Fax:323-263-8543
Practice Address - Street 1:5600 RICKENBACKER RD BLDG 2AB
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-6694
Practice Address - Country:US
Practice Address - Phone:323-263-1206
Practice Address - Fax:323-263-8543
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor