Provider Demographics
NPI:1811970403
Name:OLECK-NESMITH, SHERRY (LMHC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:OLECK-NESMITH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 TYLER ST
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-5201
Mailing Address - Country:US
Mailing Address - Phone:360-379-9107
Mailing Address - Fax:360-379-9108
Practice Address - Street 1:1118 TYLER ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-5201
Practice Address - Country:US
Practice Address - Phone:360-379-9107
Practice Address - Fax:360-379-9108
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health