Provider Demographics
NPI:1740670447
Name:COLEAN, CHERI (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:COLEAN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:
Other - Last Name:LAMOURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, MHP
Mailing Address - Street 1:705 W 7TH AVE STE E
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2836
Mailing Address - Country:US
Mailing Address - Phone:509-414-5081
Mailing Address - Fax:
Practice Address - Street 1:200 N MULLAN RD STE 214
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206
Practice Address - Country:US
Practice Address - Phone:509-414-5081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC60768033104100000X
WALW608289071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker