Provider Demographics
NPI:1972090413
Name:STOKES, SHARYN (MA, LPCA)
Entity type:Individual
Prefix:
First Name:SHARYN
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:MA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 TRIPLE CROWN DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-5713
Mailing Address - Country:US
Mailing Address - Phone:170-436-1356
Mailing Address - Fax:
Practice Address - Street 1:116 E PHIFER ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-3035
Practice Address - Country:US
Practice Address - Phone:704-283-5032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional