Sherita Denah Matthews | Stockton, CA • PECOS Search

Sherita Denah Matthews

Counselor

Behavioral Health & Social Service Providers

1212 N California St, Stockton, CA 95202-1552

PECOS Enrollment

Based on the most recent information from CMS, provider Sherita Denah Matthews does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1235379009
Provider Type
Individual
Full Name
Matthews, Sherita Denah
Title
Mrs.
Credential
PSYCH TECH

Gender
Female
Sole Proprietor
No
Enumeration Date
3/5/2009
Last Updated
3/5/2009

Contact Information

Practice Location

1212 N California St, Stockton, CA 95202-1552

(209) 468-2084

Mailing Location

1212 N California St, Stockton, CA 95202-1552

(209) 468-2084

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License PT34197 California