Provider Demographics
NPI:1619289089
Name:SEARS-CYPRIAN, SHAUNA NICOLE (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:NICOLE
Last Name:SEARS-CYPRIAN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:NICOLE
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MFTI
Mailing Address - Street 1:10032 DALY DR
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-7877
Mailing Address - Country:US
Mailing Address - Phone:916-813-2551
Mailing Address - Fax:
Practice Address - Street 1:10032 DALY DR
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-7877
Practice Address - Country:US
Practice Address - Phone:916-813-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202784106H00000X
CA59130106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist