MEDICARE: JANET SHARKIS SHARKIS 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	101YP2500X	Professional Counselor	534	CT
2	101YP2500X	Professional Counselor	93277	TX

General Provider Information

NPI Number	:	1528829553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET SHARKIS SHARKIS LPC

Provider Business Mailing Address
First Line	:	3409 BRATTON HEIGHTS DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-3663
Country	:	US
Telephone Number	:	512-501-0879
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 BRATTON HEIGHTS DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-3663
Country	:	US
Telephone Number	:	512-501-0879
Fax Number	:

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

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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Directions to “ JANET SHARKIS SHARKIS LPC” Practice Location

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