Provider Demographics
NPI:1528620010
Name:MCKALE, CHERIE V
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:V
Last Name:MCKALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 VAN TRUMP AVE NW
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-7622
Mailing Address - Country:US
Mailing Address - Phone:360-480-3343
Mailing Address - Fax:
Practice Address - Street 1:3430 SW 320TH ST STE D2
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2292
Practice Address - Country:US
Practice Address - Phone:235-289-6099
Practice Address - Fax:253-231-7251
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health