Provider Demographics
NPI:1174748198
Name:SHARON, RUTH (LPC)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:SHARON
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 1:6162 S KEARNEY ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4235
Mailing Address - Country:US
Mailing Address - Phone:303-796-7004
Mailing Address - Fax:303-796-0181
Practice Address - Street 1:6162 S KEARNEY ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4235
Practice Address - Country:US
Practice Address - Phone:303-796-7004
Practice Address - Fax:303-796-0181
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1079101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional