Healthcare Provider Details

I. General information

NPI: 1801144696
Provider Name (Legal Business Name): SHARON MERCER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2012
Last Update Date: 03/14/2022
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FRANKLIN ST
SAN FRANCISCO CA
94109-4523
US

IV. Provider business mailing address

1994 ALEMANY BLVD
SAN FRANCISCO CA
94112-3202
US

V. Phone/Fax

Practice location:
  • Phone: 415-474-7310
  • Fax: 415-447-9805
Mailing address:
  • Phone: 415-722-1291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC9159
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: