Provider Demographics
NPI:1235453762
Name:SEMRAD, SHARON L (MCP, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:L
Last Name:SEMRAD
Suffix:
Gender:F
Credentials:MCP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 N CIMARRON DR
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-3640
Mailing Address - Country:US
Mailing Address - Phone:580-541-7236
Mailing Address - Fax:580-540-9819
Practice Address - Street 1:300 W CHEROKEE AVE STE 102
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5600
Practice Address - Country:US
Practice Address - Phone:580-340-7235
Practice Address - Fax:580-324-6324
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health