Individual
SHARON ANN CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17431 N 71ST DR STE 103, GLENDALE, AZ 85308-8598
(602) 633-2246
(602) 687-7069
Mailing address
17431 N 71ST DR STE 103, GLENDALE, AZ 85308-8598
(602) 633-2246
(602) 687-7069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
649014
AHCCCS PROVIDER NUMBER
AZ
01
—
LPC-1003
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
01
—
S-1642
ASSOCIATION FOR PLAY THERAPY
AZ
Enumeration date
10/02/2006
Last updated
07/14/2021
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