Provider Demographics
NPI:1700528601
Name:CLINEDINST, SHEREE JEAN SHIRLEY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:JEAN SHIRLEY
Last Name:CLINEDINST
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 945
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24068-0945
Mailing Address - Country:US
Mailing Address - Phone:540-617-0100
Mailing Address - Fax:540-617-0160
Practice Address - Street 1:350 ARBOR DR UNIT 945
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24068-8037
Practice Address - Country:US
Practice Address - Phone:540-617-0100
Practice Address - Fax:540-617-0160
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701011391101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health