Provider Demographics
NPI:1144350984
Name:SHEEHAN, JOHN FRANCIS (CD CLINCAL SUPV)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANCIS
Last Name:SHEEHAN
Suffix:
Gender:M
Credentials:CD CLINCAL SUPV
Other - Prefix:MR
Other - First Name:JOHN
Other - Middle Name:FRANCIS
Other - Last Name:SHEEHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11555 POTRERO RD
Mailing Address - Street 2:HERBERT MCMICHAEL, PH.D.
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-6946
Mailing Address - Country:US
Mailing Address - Phone:951-849-4761
Mailing Address - Fax:951-849-9633
Practice Address - Street 1:11555 POTRERO RD
Practice Address - Street 2:HERBERT MCMICHAEL, PH.D.
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-6946
Practice Address - Country:US
Practice Address - Phone:951-849-4761
Practice Address - Fax:951-849-9633
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACS1063101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)