Provider Demographics
NPI:1881887628
Name:SHERMAN, JO ANNE E (LCPC)
Entity type:Individual
Prefix:
First Name:JO ANNE
Middle Name:E
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 E MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4327
Mailing Address - Country:US
Mailing Address - Phone:208-755-9838
Mailing Address - Fax:
Practice Address - Street 1:1700 E PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-5563
Practice Address - Country:US
Practice Address - Phone:208-755-9838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC 3803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional