Provider Demographics
NPI:1841501251
Name:HARRIS, SHARLENE ROBIN (LPC)
Entity type:Individual
Prefix:MS
First Name:SHARLENE
Middle Name:ROBIN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHARLENE
Other - Middle Name:ROBIN
Other - Last Name:MARGULIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3 BARKLEY CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2775
Mailing Address - Country:US
Mailing Address - Phone:732-651-5956
Mailing Address - Fax:
Practice Address - Street 1:3 BARKLEY CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2775
Practice Address - Country:US
Practice Address - Phone:732-651-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00389900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional