Provider Demographics
NPI:1124378872
Name:ARMSTRONG, CHERILYN LOUISE (LICSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CHERILYN
Middle Name:LOUISE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:L
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW, LCSW
Mailing Address - Street 1:127 E ROSE ST STE K
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-5009
Mailing Address - Country:US
Mailing Address - Phone:541-969-2345
Mailing Address - Fax:
Practice Address - Street 1:127 E ROSE ST STE K
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-5009
Practice Address - Country:US
Practice Address - Phone:541-969-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602957611041C0700X
ORL51711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical