Provider Demographics
NPI:1508929837
Name:CUTHBERTSON, SHARON MARIE (LMFT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIE
Last Name:CUTHBERTSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 W I ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2527
Mailing Address - Country:US
Mailing Address - Phone:707-751-0607
Mailing Address - Fax:
Practice Address - Street 1:2425 BISSO LN STE 235
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94529-0001
Practice Address - Country:US
Practice Address - Phone:925-646-5182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 34689106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist