Provider Demographics
NPI:1932317351
Name:SHARER, CATHRYN (LMFT)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:
Last Name:SHARER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:CATHY
Other - Middle Name:SHARER
Other - Last Name:HUMPHREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:2323 CARINGA WAY APT 11
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6369
Mailing Address - Country:US
Mailing Address - Phone:760-855-6311
Mailing Address - Fax:
Practice Address - Street 1:2611 S COAST HIGHWAY 101 STE 100
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-2100
Practice Address - Country:US
Practice Address - Phone:760-317-8746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 41446106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist