Provider Demographics
NPI:1003238882
Name:TAWFILIS, SHARON (MA LMFT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:TAWFILIS
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1347 CAUDOR ST
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1802
Mailing Address - Country:US
Mailing Address - Phone:858-349-4128
Mailing Address - Fax:760-230-1391
Practice Address - Street 1:1347 CAUDOR ST
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1802
Practice Address - Country:US
Practice Address - Phone:858-349-4128
Practice Address - Fax:760-230-1391
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36801106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist