Basic Information
| Provider Information | |||||||||
| NPI: | 1649661406 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LENON | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | RAE | ||||||||
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| Credential: | LLPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1714 MAPLEWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489101523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5174879959 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1310 TURNER ST | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489064373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5175744197 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2015 | ||||||||
| LastUpdateDate: | 02/13/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 6401012691 | MI | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.