Provider Demographics
NPI:1952455917
Name:HEBERT, SHARON (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 RUE JONATHAN
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5440
Mailing Address - Country:US
Mailing Address - Phone:985-780-7353
Mailing Address - Fax:
Practice Address - Street 1:1601 SHORTCUT HWY
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8047
Practice Address - Country:US
Practice Address - Phone:985-780-7353
Practice Address - Fax:985-781-7354
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2736101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor