Provider Demographics
NPI:1235769662
Name:BARBOUR, SHARON MARGARET (LMHC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MARGARET
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:MB
Other - Last Name:TEDDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22647 VENTURA BLVD.
Mailing Address - Street 2:#327
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1416
Mailing Address - Country:US
Mailing Address - Phone:818-900-5287
Mailing Address - Fax:
Practice Address - Street 1:22647 VENTURA BLVD.
Practice Address - Street 2:#327
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:91364-1416
Practice Address - Country:US
Practice Address - Phone:818-900-5287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INLMHC39003571A101YM0800X
IN39003571A101YM0800X
CALPCC14016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health