Basic Information
| Provider Information | |||||||||
| NPI: | 1801200852 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADAMS | ||||||||
| FirstName: | CHERI | ||||||||
| MiddleName: | LYNELL | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 715 HORIZON DR | ||||||||
| Address2: | STE 225 | ||||||||
| City: | GRAND JUNCTION | ||||||||
| State: | CO | ||||||||
| PostalCode: | 815068700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706837107 | ||||||||
| FaxNumber: | 9706837167 | ||||||||
| Practice Location | |||||||||
| Address1: | 439 BREEZE ST | ||||||||
| Address2: | STE 200 | ||||||||
| City: | CRAIG | ||||||||
| State: | CO | ||||||||
| PostalCode: | 816252650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9708246541 | ||||||||
| FaxNumber: | 9708240313 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2014 | ||||||||
| LastUpdateDate: | 06/18/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 1146 | CO | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.