Provider Demographics
NPI:1366832834
Name:SCHUMAN, CHERYL (CO 60417418)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:SCHUMAN
Suffix:
Gender:F
Credentials:CO 60417418
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:SCHUMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CP 60666698
Mailing Address - Street 1:2610 WETMORE AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2927
Mailing Address - Country:US
Mailing Address - Phone:425-258-5270
Mailing Address - Fax:425-258-5275
Practice Address - Street 1:2610 WETMORE AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2927
Practice Address - Country:US
Practice Address - Phone:425-258-5270
Practice Address - Fax:425-258-5275
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 60666698101YA0400X
WACO 60417418101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)