Provider Demographics
NPI:1760526230
Name:MCNAMARA, SHERYL ANN (LPC, CRC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANN
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 S BRENTWOOD BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-1315
Mailing Address - Country:US
Mailing Address - Phone:314-707-5059
Mailing Address - Fax:
Practice Address - Street 1:1750 S BRENTWOOD BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63144-1315
Practice Address - Country:US
Practice Address - Phone:314-707-5059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004008782101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional