Provider Demographics
NPI:1477960839
Name:THOMAS-PARKER, SHARON ALETTA (LCPC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ALETTA
Last Name:THOMAS-PARKER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 PAPER MILL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1320
Mailing Address - Country:US
Mailing Address - Phone:410-365-1010
Mailing Address - Fax:410-584-7969
Practice Address - Street 1:2820 PAPER MILL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:MD
Practice Address - Zip Code:21131-1320
Practice Address - Country:US
Practice Address - Phone:410-365-1010
Practice Address - Fax:410-584-7969
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5753101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health