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NPI Code Detail

MEDICARE: SARA SHARNOFF TICK LMFT

MEDICARE: SARA SHARNOFF TICK LMFT
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
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1629398136
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA SHARNOFF TICK LMFT
Provider Business Mailing Address
First Line : 13 TEMPLE ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-5110
Country : US
Telephone Number : 617-471-8400
Fax Number :
Provider Business Practice Location Address
First Line : 710 JOHNNIE DODDS BLVD STE 200
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3045
Country : US
Telephone Number : 843-800-1303
Fax Number : 888-316-7716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2010
Last Update Date : 10/08/2024

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Directions to “ SARA SHARNOFF TICK LMFT” Practice Location

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