Provider Demographics
NPI:1073086484
Name:TRAHAN KEENE, CHERI (LPC)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:TRAHAN KEENE
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 1:425 W MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-2864
Mailing Address - Country:US
Mailing Address - Phone:970-530-2884
Mailing Address - Fax:
Practice Address - Street 1:425 W MULBERRY ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2864
Practice Address - Country:US
Practice Address - Phone:970-530-2884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75343103TC1900X
CO0015929103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling