Provider Demographics
NPI:1780312405
Name:BENSON, CHERISE (LMHCA)
Entity type:Individual
Prefix:
First Name:CHERISE
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:CHERISE
Other - Middle Name:
Other - Last Name:LACAZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26610 NE MILLER ST
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-8319
Mailing Address - Country:US
Mailing Address - Phone:210-724-4543
Mailing Address - Fax:
Practice Address - Street 1:214 N COMMERCIAL ST STE 102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4410
Practice Address - Country:US
Practice Address - Phone:360-393-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHCA.MC.61246663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health