Provider Demographics
NPI:1477678399
Name:USTINOFF, CHERI ADELE (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:CHERI
Middle Name:ADELE
Last Name:USTINOFF
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 QUAIL FIELD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3223
Mailing Address - Country:US
Mailing Address - Phone:713-899-7932
Mailing Address - Fax:281-970-5805
Practice Address - Street 1:7211 QUAIL FIELD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3223
Practice Address - Country:US
Practice Address - Phone:713-899-7932
Practice Address - Fax:281-970-5805
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional