Provider Demographics
NPI:1508007196
Name:SIPPOLA, SHARI S (LPC)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:S
Last Name:SIPPOLA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:SPARLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 LINCOLN STREET
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2449
Mailing Address - Country:US
Mailing Address - Phone:620-343-2211
Mailing Address - Fax:
Practice Address - Street 1:1000 LINCOLN STREET
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2449
Practice Address - Country:US
Practice Address - Phone:620-343-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0610101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional