Individual provider · Type 1 NPI
Sharon Dawn Roark, LPC
Addiction (Substance Use Disorder) Counselor · Fort Campbell, KY
NPI number
1366534034
Active
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Fax (270) 956-0180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 62561 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366534034
Sharon Dawn Roark, LPC's National Provider Identifier is 1366534034, issued on Sep 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Campbell, KY. The record was last updated on Aug 24, 2011.