Provider Demographics
NPI:1730238817
Name:MAGINNIS, SHARON ANN (M A, MFT)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANN
Last Name:MAGINNIS
Suffix:
Gender:F
Credentials:M A, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2491 RANGE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-8357
Mailing Address - Country:US
Mailing Address - Phone:775-828-6006
Mailing Address - Fax:775-828-6006
Practice Address - Street 1:309 E JOHN ST
Practice Address - Street 2:SUITE #1
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-3039
Practice Address - Country:US
Practice Address - Phone:775-885-2002
Practice Address - Fax:775-883-2720
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV211L101YA0400X
NV483106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist