Provider Demographics
NPI:1841662681
Name:RAGER, SHERRIE (PHD,CATC, MRAS, CCDS)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:RAGER
Suffix:
Gender:F
Credentials:PHD,CATC, MRAS, CCDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2692 CORTE ELENA
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-5719
Mailing Address - Country:US
Mailing Address - Phone:650-269-3655
Mailing Address - Fax:
Practice Address - Street 1:2692 CORTE ELENA
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-5719
Practice Address - Country:US
Practice Address - Phone:650-269-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)