Provider Demographics
NPI:1326922360
Name:SKUMMER SHARP, MARY C (LPC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:SKUMMER SHARP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BROADWAY UNIT B228
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-2766
Mailing Address - Country:US
Mailing Address - Phone:970-683-1999
Mailing Address - Fax:
Practice Address - Street 1:2500 BROADWAY UNIT B228
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81507-2766
Practice Address - Country:US
Practice Address - Phone:970-683-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0022601101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health