Provider Demographics
NPI:1043584501
Name:RINDEL, SHERYL JEAN (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:JEAN
Last Name:RINDEL
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 NE BROADWAY ST
Mailing Address - Street 2:355-T
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1425
Mailing Address - Country:US
Mailing Address - Phone:503-252-3000
Mailing Address - Fax:503-255-3367
Practice Address - Street 1:1441 SE 122ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-1270
Practice Address - Country:US
Practice Address - Phone:503-252-3000
Practice Address - Fax:503-255-3367
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1406171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor