Provider Demographics
NPI:1417277039
Name:GUINEE, SHARON KATHLEEN
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KATHLEEN
Last Name:GUINEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4926
Mailing Address - Country:US
Mailing Address - Phone:541-345-4430
Mailing Address - Fax:
Practice Address - Street 1:3003 WILLAMETTE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3241
Practice Address - Country:US
Practice Address - Phone:541-345-4430
Practice Address - Fax:541-345-4430
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL63621041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical