Provider Demographics
NPI:1477763514
Name:SKELTON, SHARON (MFT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:SKELTON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5920
Mailing Address - Country:US
Mailing Address - Phone:916-719-3218
Mailing Address - Fax:
Practice Address - Street 1:125 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:RIO VISTA
Practice Address - State:CA
Practice Address - Zip Code:94571-1848
Practice Address - Country:US
Practice Address - Phone:707-374-5243
Practice Address - Fax:707-374-5381
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist