Basic Information
| Provider Information | |||||||||
| NPI: | 1144852682 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COHEN | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | DEADRA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CADC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 DOCTORS PARK STE G-H | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283290463 | ||||||||
| FaxNumber: | 8282515227 | ||||||||
| Practice Location | |||||||||
| Address1: | 3 DOCTORS PARK STE G-H | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283290463 | ||||||||
| FaxNumber: | 8282515227 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2020 | ||||||||
| LastUpdateDate: | 02/12/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | CADC-14648 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.