Provider Demographics
NPI:1730634064
Name:ST. CLAIR, SHERRIE (LMHC, NCC, LBA, BCBA)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:ST. CLAIR
Suffix:
Gender:F
Credentials:LMHC, NCC, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 N MONROE ST UNIT 48699
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99228-0359
Mailing Address - Country:US
Mailing Address - Phone:509-590-0047
Mailing Address - Fax:509-590-1437
Practice Address - Street 1:222 W MISSION AVE STE 245
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2345
Practice Address - Country:US
Practice Address - Phone:509-590-0047
Practice Address - Fax:509-590-1437
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABA60905377103K00000X
WALH60971328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2130746Medicaid
WA2212556Medicaid