Individual
SHARON ROSE STINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPPC 6413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
157107
CA
101YP2500X
Professional Counselor
Primary
LPCC6413
CA
101YP2500X
Professional Counselor
PCCI3095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562-706-4251
MEDI-CAL
CA
Enumeration date
09/25/2017
Last updated
07/21/2022
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