Provider Demographics
NPI:1215242482
Name:LERNER, SHARON BAUER (LCPC, LMFT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:BAUER
Last Name:LERNER
Suffix:
Gender:F
Credentials:LCPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3089
Mailing Address - Country:US
Mailing Address - Phone:301-325-5850
Mailing Address - Fax:
Practice Address - Street 1:550 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3089
Practice Address - Country:US
Practice Address - Phone:301-325-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0391101YP2500X
WYLMFT-082106H00000X
CAMFC 27320106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional