Provider Demographics
NPI:1023622974
Name:CESAROV, SHAREE AMOR (LPC)
Entity type:Individual
Prefix:MS
First Name:SHAREE
Middle Name:AMOR
Last Name:CESAROV
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SHAREE
Other - Middle Name:A
Other - Last Name:RINGWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4195 CLYDE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-9181
Mailing Address - Country:US
Mailing Address - Phone:248-343-5849
Mailing Address - Fax:
Practice Address - Street 1:2628 S MILFORD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4938
Practice Address - Country:US
Practice Address - Phone:810-494-7180
Practice Address - Fax:810-215-1334
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008726101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional