Provider Demographics
NPI:1609833300
Name:VARNUM, SHARON B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:B
Last Name:VARNUM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 DRURY LN
Mailing Address - Street 2:
Mailing Address - City:NICHOLS HILLS
Mailing Address - State:OK
Mailing Address - Zip Code:73116-5310
Mailing Address - Country:US
Mailing Address - Phone:405-843-3700
Mailing Address - Fax:405-842-1963
Practice Address - Street 1:5500 N WESTERN AVE
Practice Address - Street 2:#157
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-4019
Practice Address - Country:US
Practice Address - Phone:405-843-3700
Practice Address - Fax:405-842-1963
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health