Provider Demographics
NPI:1750548723
Name:DEMOSS, CHERI (MA, LCPC NCADC II)
Entity type:Individual
Prefix:MS
First Name:CHERI
Middle Name:
Last Name:DEMOSS
Suffix:
Gender:F
Credentials:MA, LCPC NCADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3748 N ASHLAND AVE APT 1N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-6099
Mailing Address - Country:US
Mailing Address - Phone:773-338-2889
Mailing Address - Fax:262-586-6704
Practice Address - Street 1:3748 N ASHLAND AVE APT 1N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-6099
Practice Address - Country:US
Practice Address - Phone:773-338-2889
Practice Address - Fax:262-586-6704
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006878101YA0400X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional