Provider Demographics
NPI:1053442699
Name:ADAMS, SHARON (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 W COLT RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-2126
Mailing Address - Country:US
Mailing Address - Phone:480-917-3847
Mailing Address - Fax:
Practice Address - Street 1:3910 S RURAL RD
Practice Address - Street 2:SUITE J
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5581
Practice Address - Country:US
Practice Address - Phone:480-317-9868
Practice Address - Fax:480-317-9867
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-12551101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health