Provider Demographics
NPI:1649365685
Name:HUKILL, SHARON KAY (LMFT)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KAY
Last Name:HUKILL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 SPRING STREET
Mailing Address - Street 2:#210
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7346
Mailing Address - Country:US
Mailing Address - Phone:619-589-8971
Mailing Address - Fax:619-463-9684
Practice Address - Street 1:4215 SPRING STREET
Practice Address - Street 2:#210
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7346
Practice Address - Country:US
Practice Address - Phone:619-589-8971
Practice Address - Fax:619-463-9684
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27863106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist