Provider Demographics
NPI:1629140868
Name:STEAD, SHERRON CATHERINE (LPC)
Entity Type:Individual
Prefix:
First Name:SHERRON
Middle Name:CATHERINE
Last Name:STEAD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 ZENIA LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6819
Mailing Address - Country:US
Mailing Address - Phone:210-494-9024
Mailing Address - Fax:830-248-1323
Practice Address - Street 1:470 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2338
Practice Address - Country:US
Practice Address - Phone:830-249-1018
Practice Address - Fax:830-248-1326
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional