Provider Demographics
NPI:1396887659
Name:CRANE, SHARON (MFT)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:CRANE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 SPYGLASS TRL E
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2761
Mailing Address - Country:US
Mailing Address - Phone:805-766-0810
Mailing Address - Fax:
Practice Address - Street 1:4882 MCGRATH ST
Practice Address - Street 2:SUITE 290
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7722
Practice Address - Country:US
Practice Address - Phone:805-205-3391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC19369106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist