Provider Demographics
NPI:1720712995
Name:MCKINNEY, SHARON ELAINE (LPC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ELAINE
Last Name:MCKINNEY
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 1:198 MORGANTOWN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BRUCETON MILLS
Mailing Address - State:WV
Mailing Address - Zip Code:26525-5003
Mailing Address - Country:US
Mailing Address - Phone:304-379-7600
Mailing Address - Fax:833-448-0358
Practice Address - Street 1:198 MORGANTOWN ST STE 2
Practice Address - Street 2:
Practice Address - City:BRUCETON MILLS
Practice Address - State:WV
Practice Address - Zip Code:26525-5003
Practice Address - Country:US
Practice Address - Phone:304-379-7600
Practice Address - Fax:833-448-0358
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2986101YP2500X
WV148101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional