| Organization Name: | SHARON MOWRER COUNSELING AND CONSULTING PC |
| NPI Number: | 1013189661 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON MOWRER (PRESIDENT) |
| Mailing Address: | 1415 Magnavox Way Suite 120 Fort Wayne |
| State: | IN US |
| Postal Code: | 468041565 |
| Phone Number: | 2607608645 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2008 |
| NPI Last Update Date: | 03/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 39001717A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |