Provider Demographics
NPI:1962905133
Name:SHARIF, MALIK NOAH (MA, LCADC, CADC-II)
Entity type:Individual
Prefix:
First Name:MALIK
Middle Name:NOAH
Last Name:SHARIF
Suffix:
Gender:M
Credentials:MA, LCADC, CADC-II
Other - Prefix:MR
Other - First Name:NOAH
Other - Middle Name:
Other - Last Name:SHARIF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CADC-II
Mailing Address - Street 1:1563 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2543
Mailing Address - Country:US
Mailing Address - Phone:415-213-1700
Mailing Address - Fax:
Practice Address - Street 1:1563 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2543
Practice Address - Country:US
Practice Address - Phone:415-213-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARA8660517101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)