Provider Demographics
NPI:1265788533
Name:MALONEY, SHARON JUDITH (MA, LPC/MHSP)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:JUDITH
Last Name:MALONEY
Suffix:
Gender:F
Credentials:MA, LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 11TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-5104
Mailing Address - Country:US
Mailing Address - Phone:423-476-5513
Mailing Address - Fax:423-664-5715
Practice Address - Street 1:335 11TH ST NE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-5104
Practice Address - Country:US
Practice Address - Phone:423-476-5513
Practice Address - Fax:423-664-5715
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2817101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor