Individual
SHAREKA SHERROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 N 31ST AVE STE C307, PHOENIX, AZ 85051-9569
(240) 397-0554
Mailing address
1831 E APACHE BLVD APT C2098, TEMPE, AZ 85281-6011
(240) 397-0554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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