Shallow, Sharon Jones

Shallow, Sharon Jones is an sole proprietor health care provider with primary practice located at 601 Country Club Dr Ste G , Greenville NC 27834-6124. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shallow, Sharon Jones can be contacted via phone (252) 355-1764.

Contact Information

Primary practice address
601 Country Club Dr Ste G Greenville NC 27834-6124
Phone: (252) 355-1764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 091 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1172 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 2219 North Carolina

Profile Details

NPI number 1770612178
LBN Legal business name Shallow, Sharon Jones
Credentials M.A.ED.,LPC, LMFT,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2007
Last updated Aug 5th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770612178 NPPES
North Carolina Other 75417 BLUE CROSS BLUE SHIELD

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