Provider Demographics
NPI:1568661825
Name:CHRISTENSEN, SHARON IRENE
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:IRENE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10303 CULL CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-9523
Mailing Address - Country:US
Mailing Address - Phone:510-538-8383
Mailing Address - Fax:
Practice Address - Street 1:10303 CULL CANYON RD
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-9523
Practice Address - Country:US
Practice Address - Phone:510-538-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health