Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 3177 | FL |
Y | 1041C0700X | Clinical Social Worker | 4899 | FL |
NPI | 1013008770 |
---|---|
Provider Name | Sharon Renee Michaels |
First Address | Clearwater, FL 33756-4172 |
Second Address | St Petersburg, FL 33704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 11/03/2020 |