Individual
MS. SHARON ELLEN FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS/BCC/LADC
Contact information
Practice address
7590 LYRIC LN NE, FRIDLEY, MN 55432-3251
(763) 236-4300
(763) 236-4370
Mailing address
14005 ARGON ST NW, RAMSEY, MN 55303-2293
(763) 433-9032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301877
MN
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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