Provider Demographics
NPI:1205980372
Name:FOLLMAN, SHARIL (LMHC, CDP)
Entity type:Individual
Prefix:MRS
First Name:SHARIL
Middle Name:
Last Name:FOLLMAN
Suffix:
Gender:F
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 S ANACORTES ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-3010
Mailing Address - Country:US
Mailing Address - Phone:360-755-1125
Mailing Address - Fax:
Practice Address - Street 1:910 S ANACORTES ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-3010
Practice Address - Country:US
Practice Address - Phone:360-755-1125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00003904101YA0400X
WALH00008389101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1881755106OtherFOLLMAN AGENCY