Provider Demographics
NPI:1891865259
Name:RANKE, SHARON VICTORIA (MA LPC NCC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:VICTORIA
Last Name:RANKE
Suffix:
Gender:F
Credentials:MA LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18541 MACKAY DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-6128
Mailing Address - Country:US
Mailing Address - Phone:586-786-7454
Mailing Address - Fax:586-786-7455
Practice Address - Street 1:18541 MACKAY DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-6128
Practice Address - Country:US
Practice Address - Phone:586-786-7454
Practice Address - Fax:586-786-7455
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008495101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional