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MS. SHERRY R PATERAK MFT

Addiction Substance Use Disorder

Newbury Park, California

Provider NPI: 1639146251

Provider Information:
MS. SHERRY R PATERAK MFT
Gender: F
Sole Proprietor


Practice Location:
1000 BUSINESS CENTER CIR STE 209  NEWBURY PARK, CA 91320 US
Tel: 805-298-2710  Fax: --

Business Mailing Address:
1000 BUSINESS CENTER CIR STE 209  NEWBURY PARK, CA 91320 US
Tel: 805-298-2710  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CACAADE 010477
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT44582

Other Provider Identifiers:

IssuerNumberStateType
CA LICENSEMFT44582CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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