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NPI Code Detail

MEDICARE: MISS SHARON ANDREA HALEY B.A.

MEDICARE: MISS SHARON ANDREA HALEY B.A.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1396901815
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHARON ANDREA HALEY B.A.
Provider Business Mailing Address
First Line : 17204 WALL ST
Second Line :
City : CARSON
State : CA
Zip : 90746-1165
Country : US
Telephone Number : 310-327-4191
Fax Number :
Provider Business Practice Location Address
First Line : 704 W 8TH ST
Second Line :
City : SAN PEDRO
State : CA
Zip : 90731-3017
Country : US
Telephone Number : 310-832-7545
Fax Number : 310-833-8580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2008
Last Update Date : 08/04/2008

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