Provider Demographics
NPI:1437121357
Name:ST.JOHN, SHARON A (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:A
Last Name:ST.JOHN
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 1:5470 S 150 W
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON TERRACE
Mailing Address - State:UT
Mailing Address - Zip Code:84405-6809
Mailing Address - Country:US
Mailing Address - Phone:801-475-5910
Mailing Address - Fax:
Practice Address - Street 1:555 E 5300 S
Practice Address - Street 2:BUILDING 2 SUITE 6
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-4509
Practice Address - Country:US
Practice Address - Phone:801-621-5385
Practice Address - Fax:801-392-1805
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT331360-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health