Provider Demographics
NPI:1679869499
Name:BLUE, SHARHONDA BARROW (MA,LPC)
Entity type:Individual
Prefix:
First Name:SHARHONDA
Middle Name:BARROW
Last Name:BLUE
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5508 SEASPRAY LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5797
Mailing Address - Country:US
Mailing Address - Phone:919-630-8089
Mailing Address - Fax:
Practice Address - Street 1:5508 SEASPRAY LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5797
Practice Address - Country:US
Practice Address - Phone:919-630-8089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7766101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor