Provider Demographics
NPI:1285112003
Name:BUEHLER SHERMAN, ANNEKA LAUREN
Entity type:Individual
Prefix:
First Name:ANNEKA
Middle Name:LAUREN
Last Name:BUEHLER SHERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNEKA
Other - Middle Name:LAUREN
Other - Last Name:BUEHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RESIDENT IN COUNSELI
Mailing Address - Street 1:11410 RESTON STATION BLVD APT 511
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5431
Mailing Address - Country:US
Mailing Address - Phone:949-584-5798
Mailing Address - Fax:
Practice Address - Street 1:11410 RESTON STATION BLVD APT 511
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5431
Practice Address - Country:US
Practice Address - Phone:949-584-5798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704016959101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health