Provider Demographics
NPI:1336720473
Name:GUZMAN, SHARON LYNNETTE (LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNNETTE
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4067 HONEY BEAR LOOP
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-1028
Mailing Address - Country:US
Mailing Address - Phone:512-731-3476
Mailing Address - Fax:
Practice Address - Street 1:108 E BAGDAD AVE UNIT 50
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5255
Practice Address - Country:US
Practice Address - Phone:512-308-6613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63180101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor