Provider Demographics
NPI:1689029969
Name:LEE, SHARON (DMIN, LPCA)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:DMIN, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 SOUTHSHORE PKWY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-3944
Mailing Address - Country:US
Mailing Address - Phone:919-584-5079
Mailing Address - Fax:
Practice Address - Street 1:8522 SIX FORKS RD STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3098
Practice Address - Country:US
Practice Address - Phone:191-958-4507
Practice Address - Fax:919-584-5079
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12339101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional