Provider Demographics
NPI:1831170406
Name:CONFER, CHERYL L (LMHC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:CONFER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6530 CONSTITUTION DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-1550
Mailing Address - Country:US
Mailing Address - Phone:260-414-4809
Mailing Address - Fax:260-459-0282
Practice Address - Street 1:6530 CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-1550
Practice Address - Country:US
Practice Address - Phone:260-414-4809
Practice Address - Fax:260-459-0282
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000056A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health