Provider Demographics
NPI:1851310387
Name:CHESTON, SHARON ELIZABETH (EDD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ELIZABETH
Last Name:CHESTON
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W PADONIA RD
Mailing Address - Street 2:SUITE C252
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2226
Mailing Address - Country:US
Mailing Address - Phone:410-617-7611
Mailing Address - Fax:410-667-0192
Practice Address - Street 1:22 W PADONIA RD
Practice Address - Street 2:SUITE C252
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-2226
Practice Address - Country:US
Practice Address - Phone:410-617-7611
Practice Address - Fax:410-667-0192
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC 0001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health