Individual provider · Type 1 NPI

Jacqueline Michele Sharp, LCMT

Specialist · Rockford, IL

NPI number 1689900169 Active

Practice location

2204 Arthur Ave
Rockford, IL 61101-5224

Call (815) 243-9366 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X227003425 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1689900169

Jacqueline Michele Sharp, LCMT's National Provider Identifier is 1689900169, issued on Oct 19, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockford, IL. The record was last updated on Oct 19, 2009.