Doctor Name: | MRS. SHARON LEE OKERBERG |
NPI Number: | 1710046578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.,LMHC |
License Number: | 00392 |
Business Practice Address: | 1785 Curtis Bridge Rd Ne North Liberty, IA - 523179541 |
Business Phone Number: | 3196652008 |
Business Fax Number: | 3196659330 |
Mailing Address: | 1785 Curtis Bridge Rd Ne, NORTH LIBERTY |
State: | IA |
Postal Code: | 523179541 |
Phone Number: | 3196652008 |
Fax Number: | 3196659330 |
NPI Enumeration Date: | 12/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |