Provider Demographics
NPI:1992094825
Name:MCGHEE, SHARON LESLIE (MA RSAP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LESLIE
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:MA RSAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63834-1262
Mailing Address - Country:US
Mailing Address - Phone:573-683-4002
Mailing Address - Fax:573-683-4420
Practice Address - Street 1:801 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:MO
Practice Address - Zip Code:63834-1262
Practice Address - Country:US
Practice Address - Phone:573-683-4002
Practice Address - Fax:573-683-4420
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO3649101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)