Provider Demographics
NPI:1053686550
Name:COTTERMAN-FISCHER, SHERRY E (LPCC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:E
Last Name:COTTERMAN-FISCHER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1777
Mailing Address - Country:US
Mailing Address - Phone:740-755-8051
Mailing Address - Fax:740-366-8940
Practice Address - Street 1:935 RIVER RD
Practice Address - Street 2:SUITE I
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-9584
Practice Address - Country:US
Practice Address - Phone:740-755-8051
Practice Address - Fax:740-366-8940
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0006474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE0006474OtherLPCC LICENSE