Provider Demographics
NPI:1467170167
Name:FREEMAN, CHERISH (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHERISH
Middle Name:
Last Name:FREEMAN
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 1:6405 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3922
Mailing Address - Country:US
Mailing Address - Phone:913-626-4021
Mailing Address - Fax:
Practice Address - Street 1:8220 TRAVIS ST STE 112
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3965
Practice Address - Country:US
Practice Address - Phone:913-735-3011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3021101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional