Provider Demographics
NPI:1710054226
Name:OWENS, SHARON PIGG (MFT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:PIGG
Last Name:OWENS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 CAMINO DIABLO
Mailing Address - Street 2:#200
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3953
Mailing Address - Country:US
Mailing Address - Phone:925-906-9391
Mailing Address - Fax:925-935-1486
Practice Address - Street 1:2910 CAMINO DIABLO
Practice Address - Street 2:#200
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3953
Practice Address - Country:US
Practice Address - Phone:925-906-9391
Practice Address - Fax:925-935-1486
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34058106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ55724ZMedicare UPIN