Provider Demographics
NPI:1306049754
Name:BURTON, SHARI NICOLE (LPC)
Entity type:Individual
Prefix:MISS
First Name:SHARI
Middle Name:NICOLE
Last Name:BURTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:S. NICOLE
Other - Middle Name:
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2423 PENNSYLVANIA AVE NW
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1718
Mailing Address - Country:US
Mailing Address - Phone:202-363-7792
Mailing Address - Fax:202-659-2291
Practice Address - Street 1:2423 PENNSYLVANIA AVE NW
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1718
Practice Address - Country:US
Practice Address - Phone:202-363-7792
Practice Address - Fax:202-659-2291
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13961101YP2500X
VA0701004163101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional