Provider Demographics
NPI:1164719662
Name:KADAIR, SHERRY D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:D
Last Name:KADAIR
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 1:18323 GREEN LAKES CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-6043
Mailing Address - Country:US
Mailing Address - Phone:303-718-2106
Mailing Address - Fax:
Practice Address - Street 1:763 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-5725
Practice Address - Country:US
Practice Address - Phone:225-387-2287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4036101YP2500X
CO3498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional