Provider Demographics
NPI:1508273251
Name:MCDUFFEY, SHARON (CDAAC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:MCDUFFEY
Suffix:
Gender:F
Credentials:CDAAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 POST ST APT 432
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-6196
Mailing Address - Country:US
Mailing Address - Phone:251-978-8229
Mailing Address - Fax:
Practice Address - Street 1:737 POST ST APT 432
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6196
Practice Address - Country:US
Practice Address - Phone:251-978-8229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)