Provider Demographics
NPI:1477754661
Name:BARNES, SHARMAINE D (LMFT)
Entity type:Individual
Prefix:
First Name:SHARMAINE
Middle Name:D
Last Name:BARNES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SHARMAINE
Other - Middle Name:D
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2431 W MARCH LN
Mailing Address - Street 2:STE 200
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-8211
Mailing Address - Country:US
Mailing Address - Phone:209-475-8428
Mailing Address - Fax:209-475-8479
Practice Address - Street 1:2431 W MARCH LN
Practice Address - Street 2:STE 200
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-8211
Practice Address - Country:US
Practice Address - Phone:209-475-8428
Practice Address - Fax:209-475-8479
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80569106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist