Provider Demographics
NPI:1841413226
Name:HAFFNER, CHEREE A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHEREE
Middle Name:A
Last Name:HAFFNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 PLACERVILLE DR STE 17
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-3972
Mailing Address - Country:US
Mailing Address - Phone:530-621-6357
Mailing Address - Fax:530-622-1293
Practice Address - Street 1:4250 FOWLER LN
Practice Address - Street 2:
Practice Address - City:DIAMOND SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95619-9781
Practice Address - Country:US
Practice Address - Phone:530-295-1491
Practice Address - Fax:530-622-1293
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS175531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical