Provider Demographics
NPI:1043422330
Name:VINEYARD, SHARON MAE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:MAE
Last Name:VINEYARD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 RIDGEWOOD DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7803
Mailing Address - Country:US
Mailing Address - Phone:530-345-4359
Mailing Address - Fax:530-891-0919
Practice Address - Street 1:1370 RIDGEWOOD DR
Practice Address - Street 2:SUITE 9
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7803
Practice Address - Country:US
Practice Address - Phone:530-345-4359
Practice Address - Fax:530-891-0919
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31269106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist