Provider Demographics
NPI:1205897931
Name:CHUNN, SHARON ANN (LMHC, LPC)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANN
Last Name:CHUNN
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 S 14TH ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-4740
Mailing Address - Country:US
Mailing Address - Phone:904-206-4411
Mailing Address - Fax:904-206-4433
Practice Address - Street 1:1890 S 14TH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-4740
Practice Address - Country:US
Practice Address - Phone:904-206-4411
Practice Address - Fax:904-206-4433
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004250101YP2500X
FLMH7684101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional