Healthcare Provider Details

I. General information

NPI: 1124450101
Provider Name (Legal Business Name): SHARON MUSIAL LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 COLUMBUS RD
ATHENS OH
45701-1315
US

IV. Provider business mailing address

PO BOX 188
CHILLICOTHEE OH
45601-0188
US

V. Phone/Fax

Practice location:
  • Phone: 740-249-4318
  • Fax: 740-249-4330
Mailing address:
  • Phone: 740-773-4366
  • Fax: 740-773-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1200269
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: