Provider Demographics
NPI:1588117600
Name:MABEE, CHERYL A (MA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:MABEE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:MABEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:707 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-4750
Mailing Address - Country:US
Mailing Address - Phone:503-956-2537
Mailing Address - Fax:
Practice Address - Street 1:707 8TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-4750
Practice Address - Country:US
Practice Address - Phone:503-956-2537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health