MEDICARE: MISS SHARON MARIE NAHRA M.A., ATR, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	E0700119	OH

General Provider Information

NPI Number	:	1386994127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SHARON MARIE NAHRA M.A., ATR, LPCC

Provider Business Mailing Address
First Line	:	7172 COLUMBIA RD
Second Line	:	SUITE A
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-1530
Country	:	US
Telephone Number	:	440-235-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7172 COLUMBIA RD
Second Line	:	SUITE A
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-1530
Country	:	US
Telephone Number	:	440-235-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	09/19/2012

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