Provider Demographics
NPI:1760763858
Name:CROWELL, CHERIE ANN MILILANI (ACSW)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:ANN MILILANI
Last Name:CROWELL
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1235
Mailing Address - Street 2:
Mailing Address - City:ANGELS CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95222-1235
Mailing Address - Country:US
Mailing Address - Phone:530-712-0606
Mailing Address - Fax:209-398-8759
Practice Address - Street 1:13975 MONO WAY
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-2824
Practice Address - Country:US
Practice Address - Phone:209-533-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1208161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical