Basic Information
| Provider Information | |||||||||
| NPI: | 1568749232 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GERALDS | ||||||||
| FirstName: | SHALON | ||||||||
| MiddleName: | KATINIA TEMARA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CADC I I | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7240 E SOUTHGATE DR | ||||||||
| Address2: | SUITE G | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958232627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163914293 | ||||||||
| FaxNumber: | 9163914247 | ||||||||
| Practice Location | |||||||||
| Address1: | 7240 E SOUTHGATE DR | ||||||||
| Address2: | SUITE G | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958232627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163914293 | ||||||||
| FaxNumber: | 9163914247 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2011 | ||||||||
| LastUpdateDate: | 06/30/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | I8316110 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.