MEDICARE: MRS. SHARON H JONES LPC, MS, CCDP

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	PC005993	PA

General Provider Information

NPI Number	:	1932485828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON H JONES LPC, MS, CCDP

Provider Business Mailing Address
First Line	:	1416 TRAYMORE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-2622
Country	:	US
Telephone Number	:	412-243-6968
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 TRAYMORE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-2622
Country	:	US
Telephone Number	:	412-243-6968
Fax Number	:

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

Provider Enumeration Date	:	10/24/2011
Last Update Date	:	10/24/2011

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