Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 10805 | TX |
Y | 101YP2500X | Professional Counselor | 10805 | TX |
N | 101YS0200X | School Counselor | 10805 | TX |
NPI | 1154629145 |
---|---|
Provider Name | Ms. Sharon C Mock |
First Address | Kerrville, TX 78028-7175 |
Second Address | Kerrville, TX 78028-7175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2011 |
Last Update Date | 01/03/2011 |