Sherry Ellen Ackeson-Madden, LMFT
Individual provider Active NPI Mental Health Counselor · Fort Bragg, CA
NPI 1295871135 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295871135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MFC35528 (CA)
- Practice address
- 124 E Pine St
Fort Bragg
Fort Bragg, CA 95437-3222 - Phone
- (707) 964-4376
- Fax
- (707) 964-4438
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC35528 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC35528 | CA | Yes |
Addresses
Primary practice location
124 E Pine St
Fort Bragg
Fort Bragg, CA 95437-3222
Mailing address
PO Box 1484
Fort Bragg, CA 95437-1484
Phone (707) 964-2378
Other names
- Sheril Ellen Ackerson - Madden
Other providers in Fort Bragg, CA
- Ted Michael Aames
- Keevan Abramson
- Jennifer Bailey Adamson-Hamilton
- Adventist Health Mendocino Coast
- Adventist Health Mendocino Coast
- Adventist Health Mendocino Coast
- Adventist Health Physicians Network
All providers in Fort Bragg, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.