Provider Demographics
NPI:1720408792
Name:JOSEPH, SHARON CAMILLA
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:CAMILLA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9019 S DELAWARE AVE UNIT 502
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-3359
Mailing Address - Country:US
Mailing Address - Phone:571-296-5234
Mailing Address - Fax:
Practice Address - Street 1:9019 S DELAWARE AVE UNIT 502
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-3359
Practice Address - Country:US
Practice Address - Phone:571-296-5234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor