Provider Demographics
NPI:1033386255
Name:MONTECALVO, SHARON JOHNSON (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:JOHNSON
Last Name:MONTECALVO
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 1:389 SLATER RD
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-8711
Mailing Address - Country:US
Mailing Address - Phone:336-945-2646
Mailing Address - Fax:
Practice Address - Street 1:389 SLATER RD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27023-8711
Practice Address - Country:US
Practice Address - Phone:336-945-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4932101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool