Provider Demographics
NPI:1811313679
Name:FORERO, CHERYL (LPC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:FORERO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 CHESTNUT ST
Mailing Address - Street 2:SUITE 336
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3283
Mailing Address - Country:US
Mailing Address - Phone:814-350-5558
Mailing Address - Fax:814-337-3751
Practice Address - Street 1:310 CHESTNUT ST
Practice Address - Street 2:SUITE 336
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3283
Practice Address - Country:US
Practice Address - Phone:814-350-5558
Practice Address - Fax:814-337-3751
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007450101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor