Provider Demographics
NPI:1346556255
Name:VALENTINE, SHARON ELAINE (LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ELAINE
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:FERRIS
Mailing Address - State:TX
Mailing Address - Zip Code:75125-0282
Mailing Address - Country:US
Mailing Address - Phone:972-965-7968
Mailing Address - Fax:972-544-2281
Practice Address - Street 1:122 OTTER
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-9570
Practice Address - Country:US
Practice Address - Phone:972-965-7968
Practice Address - Fax:972-544-2281
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20142101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor