Healthcare Provider Details

I. General information

NPI: 1699823229
Provider Name (Legal Business Name): SHARON KRAMER LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 01/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N WARSON RD SUITE 119
SAINT LOUIS MO
63132-1111
US

IV. Provider business mailing address

1515 N WARSON RD SUITE 119
SAINT LOUIS MO
63132-1111
US

V. Phone/Fax

Practice location:
  • Phone: 314-322-0385
  • Fax: 314-298-9261
Mailing address:
  • Phone: 314-322-0385
  • Fax: 314-298-9261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number002302
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number002302
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: