Provider Demographics
NPI:1821367350
Name:MONKS, CHERYL ANNE (LPCC)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANNE
Last Name:MONKS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:ANNE
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:10201 CUEVA DEL OSO NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3762
Mailing Address - Country:US
Mailing Address - Phone:505-670-1188
Mailing Address - Fax:
Practice Address - Street 1:10201 CUEVA DEL OSO NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3762
Practice Address - Country:US
Practice Address - Phone:505-670-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2843101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional