Cherisse Brown
Individual provider Active NPI Mental Health Counselor · Pocatello, ID
NPI 1528298841 · NPPES record last updated Jul 21, 2009
Key facts
- NPI
- 1528298841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2055 Garrett Way Ste 1
Pocatello, ID 83201-5155 - Phone
- (208) 236-1600
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2055 Garrett Way Ste 1
Pocatello, ID 83201-5155
Mailing address
652 W Cedar St
Pocatello, ID 83201-5032
Other providers in Pocatello, ID
- Kelly Laine Brookshier
- Brady Victor Brower
- Albert Brown
- Andrea Brown
- Caroline Olivia Brown
- Cindy L Brown
- Crete Brown
- Dylan Brown
- Rachel Brown
- Ryan Brown
All providers in Pocatello, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2009. 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.