Provider Demographics
NPI:1184323925
Name:SHERRICK, ADRIAN (LPC-IT)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:SHERRICK
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:ADRIAN
Other - Middle Name:
Other - Last Name:PRUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 FOURIER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1958
Mailing Address - Country:US
Mailing Address - Phone:608-740-2001
Mailing Address - Fax:608-740-2002
Practice Address - Street 1:1001 FOURIER DR STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1958
Practice Address - Country:US
Practice Address - Phone:608-740-2001
Practice Address - Fax:608-740-2002
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2204685101YP2500X
WI7277-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional