Provider Demographics
NPI:1679164891
Name:LOCKHART, SHARON DENISE (MA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:LOCKHART
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3185 CONTRA LOMA BLVD APT 302
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-9205
Mailing Address - Country:US
Mailing Address - Phone:706-464-5641
Mailing Address - Fax:
Practice Address - Street 1:908 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94608-2807
Practice Address - Country:US
Practice Address - Phone:510-879-6957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-30
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor