Healthcare Provider Details

I. General information

NPI: 1477486736
Provider Name (Legal Business Name): SHAREENA COREAN CLARK ASCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHAREENA CLARK BA MFA

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 J ST # 128
EUREKA CA
95501-3055
US

IV. Provider business mailing address

326 I ST # 128
EUREKA CA
95501-0522
US

V. Phone/Fax

Practice location:
  • Phone: 707-441-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: