Provider Demographics
NPI:1194047977
Name:HATCHER, SHEILA (MFT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HATCHER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 BROADWAY BOX 342
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501
Mailing Address - Country:US
Mailing Address - Phone:310-913-1868
Mailing Address - Fax:310-378-7823
Practice Address - Street 1:100 H ST
Practice Address - Street 2:# 202 B
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501
Practice Address - Country:US
Practice Address - Phone:310-913-1868
Practice Address - Fax:310-378-7823
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 41295106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist