Provider Demographics
NPI:1124369517
Name:REMAIZE, SHARON ANN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:REMAIZE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 GRANT AVE S APT L201
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-3635
Mailing Address - Country:US
Mailing Address - Phone:425-772-6093
Mailing Address - Fax:
Practice Address - Street 1:2020 GRANT AVE S APT L201
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-3635
Practice Address - Country:US
Practice Address - Phone:425-772-6093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00010646101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health