Provider Demographics
NPI:1942643374
Name:VALENTINO, SHARON BRADLEY (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:BRADLEY
Last Name:VALENTINO
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 1:3030 BRIDGEWAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2810
Mailing Address - Country:US
Mailing Address - Phone:415-215-5363
Mailing Address - Fax:
Practice Address - Street 1:3030 BRIDGEWAY
Practice Address - Street 2:SUITE 108
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-2810
Practice Address - Country:US
Practice Address - Phone:415-215-5363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62176106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist