Provider Demographics
NPI:1518006402
Name:ALLARD-SHARTZER, MARGARET A (LPCC-S)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:ALLARD-SHARTZER
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:A
Other - Last Name:ALLARD-SHARTZER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:500 LEHMAN AVE STE 12
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-3087
Mailing Address - Country:US
Mailing Address - Phone:419-344-2064
Mailing Address - Fax:
Practice Address - Street 1:500 LEHMAN AVE STE 12
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-3087
Practice Address - Country:US
Practice Address - Phone:419-344-2064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0700080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health