Provider Demographics
NPI:1861570061
Name:CHARLTON, SONYA (MA, LMHP)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:
Last Name:CHARLTON
Suffix:
Gender:F
Credentials:MA, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MCNEEL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6092
Mailing Address - Country:US
Mailing Address - Phone:308-532-0777
Mailing Address - Fax:308-532-0389
Practice Address - Street 1:102 MCNEEL LN
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6092
Practice Address - Country:US
Practice Address - Phone:308-532-0777
Practice Address - Fax:308-532-0389
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2769101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health