Provider Demographics
NPI:1134558935
Name:HILL, SHARI ANN (MLS, LAC)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:MLS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67505-1436
Mailing Address - Country:US
Mailing Address - Phone:620-662-7735
Mailing Address - Fax:
Practice Address - Street 1:111 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67505-1436
Practice Address - Country:US
Practice Address - Phone:620-662-7735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)