MEDICARE: CHRISTY SHARUM M.A., LPC

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	101YM0800X	Mental Health Counselor	66838	TX
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366707267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY SHARUM M.A., LPC

Provider Business Mailing Address
First Line	:	PO BOX 66
Second Line	:
City	:	SALADO
State	:	TX
Zip	:	76571-0066
Country	:	US
Telephone Number	:	254-947-4140
Fax Number	:

Provider Business Practice Location Address
First Line	:	752 COUNTY ROAD 417
Second Line	:
City	:	EVANT
State	:	TX
Zip	:	76525-2532
Country	:	US
Telephone Number	:	254-471-5906
Fax Number	:

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

Provider Enumeration Date	:	07/07/2012
Last Update Date	:	06/13/2024

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