Provider Demographics
NPI:1265703177
Name:SUDOL, SHARON E (MA, LPC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:E
Last Name:SUDOL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:E
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:2302 COLONIAL AVE SW STE F
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-3100
Mailing Address - Country:US
Mailing Address - Phone:540-566-9706
Mailing Address - Fax:
Practice Address - Street 1:2302 COLONIAL AVE SW STE F
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-3100
Practice Address - Country:US
Practice Address - Phone:540-566-9706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010541101YP2500X
AZLPC-14497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional