Provider Demographics
NPI:1982742441
Name:SHARROCK, KIRK A (LPCC-S)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:A
Last Name:SHARROCK
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 SAWMILL RD.
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016
Mailing Address - Country:US
Mailing Address - Phone:614-766-0161
Mailing Address - Fax:614-766-0298
Practice Address - Street 1:7251 SAWMILL RD.
Practice Address - Street 2:SUITE 150
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:614-766-0161
Practice Address - Fax:614-766-0298
Is Sole Proprietor?:No
Enumeration Date:2007-02-04
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-4369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional