Provider Demographics
NPI:1578520185
Name:GREABLE, CHERI LEE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CHERI
Middle Name:LEE
Last Name:GREABLE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:CHERI
Other - Middle Name:LEE
Other - Last Name:SCHANZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:3 MAPLE AVE
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04070-0062
Mailing Address - Country:US
Mailing Address - Phone:207-883-6032
Mailing Address - Fax:
Practice Address - Street 1:3 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9545
Practice Address - Country:US
Practice Address - Phone:207-883-6032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional