Provider Demographics
NPI:1346870425
Name:STAHL, CHERI (LPC, NCC, GCDF)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:STAHL
Suffix:
Gender:F
Credentials:LPC, NCC, GCDF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 LUSTER LEAF CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-7613
Mailing Address - Country:US
Mailing Address - Phone:231-564-0455
Mailing Address - Fax:
Practice Address - Street 1:1415 HOWARD ST
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-3000
Practice Address - Country:US
Practice Address - Phone:231-348-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017952101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor