Provider Demographics
NPI:1780924910
Name:CHERMAK, HILARY CATHERINE (LCPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:CATHERINE
Last Name:CHERMAK
Suffix:
Gender:F
Credentials:LCPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 961
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04679-0961
Mailing Address - Country:US
Mailing Address - Phone:207-610-2374
Mailing Address - Fax:
Practice Address - Street 1:1 FERNALD POINT RD
Practice Address - Street 2:
Practice Address - City:SOUTHWEST HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04679-4614
Practice Address - Country:US
Practice Address - Phone:207-610-2372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4933125101YP2500X
ME4175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional