Provider Demographics
NPI:1649661406
Name:LENON, SHARON RAE (LLPC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:RAE
Last Name:LENON
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1523
Mailing Address - Country:US
Mailing Address - Phone:517-487-9959
Mailing Address - Fax:
Practice Address - Street 1:1310 TURNER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-4373
Practice Address - Country:US
Practice Address - Phone:517-574-4197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012691101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional