Provider Demographics
NPI:1952493884
Name:EDWARDS, SHARON T (CSAC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:T
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:284 EXECUTIVE PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1833
Mailing Address - Country:US
Mailing Address - Phone:704-939-1118
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:1000 N 1ST ST STE 1
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-2819
Practice Address - Country:US
Practice Address - Phone:704-983-2117
Practice Address - Fax:704-983-2636
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1592101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)