Provider Demographics
NPI:1346369790
Name:SKUJINS, SHARON EILEEN (CADC II, NCAC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:EILEEN
Last Name:SKUJINS
Suffix:
Gender:F
Credentials:CADC II, NCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27678 GRETCHEN LN
Mailing Address - Street 2:
Mailing Address - City:PIONEER
Mailing Address - State:CA
Mailing Address - Zip Code:95666-9637
Mailing Address - Country:US
Mailing Address - Phone:209-295-1576
Mailing Address - Fax:
Practice Address - Street 1:27678 GRETCHEN LN
Practice Address - Street 2:
Practice Address - City:PIONEER
Practice Address - State:CA
Practice Address - Zip Code:95666-9637
Practice Address - Country:US
Practice Address - Phone:209-295-1576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)