Provider Demographics
NPI:1578169025
Name:GUNNER, SHAREE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SHAREE
Middle Name:
Last Name:GUNNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 90967
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-0967
Mailing Address - Country:US
Mailing Address - Phone:585-315-1583
Mailing Address - Fax:
Practice Address - Street 1:599 MELVILLE ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-5433
Practice Address - Country:US
Practice Address - Phone:585-315-6331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005149101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health