Provider Demographics
NPI:1326581604
Name:ENCARNACION, SHERON BONICE (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHERON
Middle Name:BONICE
Last Name:ENCARNACION
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9032 INTERLACHEN
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1331
Mailing Address - Country:US
Mailing Address - Phone:210-875-7668
Mailing Address - Fax:210-299-4498
Practice Address - Street 1:9032 INTERLACHEN
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:TX
Practice Address - Zip Code:78154-1331
Practice Address - Country:US
Practice Address - Phone:210-875-7668
Practice Address - Fax:210-299-4498
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70363101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional