Provider Demographics
NPI:1164648531
Name:HILL, SHARLENE J (MFT)
Entity Type:Individual
Prefix:MS
First Name:SHARLENE
Middle Name:J
Last Name:HILL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 MILL STREET
Mailing Address - Street 2:K8
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1474
Mailing Address - Country:US
Mailing Address - Phone:775-982-5320
Mailing Address - Fax:775-983-5765
Practice Address - Street 1:1155 MILL STREET
Practice Address - Street 2:K8
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1474
Practice Address - Country:US
Practice Address - Phone:775-982-5320
Practice Address - Fax:775-983-5765
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMFT0972106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11927824OtherCAQH