Cheryl Dehaven, MA, LPC, NCC
Individual provider Active NPI Professional Counselor · Bisbee, AZ
NPI 1447738844 · NPPES record last updated Jul 30, 2018
Key facts
- NPI
- 1447738844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-17283 (AZ)
- Practice address
- 24 Howell Ave
Suite 11
Bisbee, AZ 85603-8562 - Phone
- (520) 678-5851
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17283 | AZ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-17283 | AZ | Yes |
Addresses
Primary practice location
24 Howell Ave
Suite 11
Bisbee, AZ 85603-8562
Mailing address
830 N Highway 191
Pearce, AZ 85625-4064
Phone (520) 678-5851
Other providers in Bisbee, AZ
- City of Bisbee Ambulance
- Cochise County
- W Patrick Coghlan
- Community Bridges, Inc.
- Community Intervention Associates, Inc.
- Arleene Evelynne Djordjevic
- Daniel Abram Driscoll
- Jennifer E. Druckman
- Jessica Lee Fontes
- Frances Jones Dba Oxicheck NW
All providers in Bisbee, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.