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Individual

CHRISTOPHER SHARPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LISW

Contact information

Practice address
4617 WOODLAND AVE UNIT 4, WEST DES MOINES, IA 50266-1763
(515) 494-2797
Mailing address
4425 MILLS CIVIC PKWY UNIT 701, WEST DES MOINES, IA 50265-5451
(515) 494-2797

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111212
IA
1041C0700X
Clinical Social Worker
124965
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992199723
IRS CP575 METACHANGE THERAPY
Enumeration date
03/18/2015
Last updated
06/16/2025
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