Provider Demographics
NPI:1851618623
Name:HAROCHE, SHARON RENEE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:RENEE
Last Name:HAROCHE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4127
Mailing Address - Country:US
Mailing Address - Phone:707-888-4430
Mailing Address - Fax:
Practice Address - Street 1:140 S HIGH ST
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4365
Practice Address - Country:US
Practice Address - Phone:707-888-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT34100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist