Provider Demographics
NPI:1437349404
Name:LEWIS, CHERI R (LMHC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CHERI
Middle Name:R
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 AVENUE D #231
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290
Mailing Address - Country:US
Mailing Address - Phone:425-638-9966
Mailing Address - Fax:425-650-6959
Practice Address - Street 1:14205 SE 36TH STREET #140
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006
Practice Address - Country:US
Practice Address - Phone:425-638-9966
Practice Address - Fax:425-650-6959
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011056101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health