Provider Demographics
NPI:1679796098
Name:KNOBLOCK, SHARON (LPC AND LCDC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:KNOBLOCK
Suffix:
Gender:F
Credentials:LPC AND LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 NW MILITARY HWY
Mailing Address - Street 2:SUITE 222
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213
Mailing Address - Country:US
Mailing Address - Phone:210-349-7404
Mailing Address - Fax:210-344-2607
Practice Address - Street 1:1931 NW MILITARY HWY
Practice Address - Street 2:SUITE 222
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213
Practice Address - Country:US
Practice Address - Phone:210-349-7404
Practice Address - Fax:210-344-2607
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9405101YA0400X
TXL1177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional