Individual
MS. SHARON DAWN ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0534
(270) 956-0180
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0534
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
62561
TX
Other
Enumeration date
09/29/2006
Last updated
08/24/2011
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