Provider Demographics
NPI:1902013121
Name:PRESTON, SHARA F (CMHC)
Entity Type:Individual
Prefix:MS
First Name:SHARA
Middle Name:F
Last Name:PRESTON
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E MAIN ST STE L4
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2490
Mailing Address - Country:US
Mailing Address - Phone:801-980-3676
Mailing Address - Fax:
Practice Address - Street 1:111 E MAIN ST STE L4
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2490
Practice Address - Country:US
Practice Address - Phone:801-980-3676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9229810-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health