Provider Demographics
NPI:1841640372
Name:THOMAS, CHERIE (CACD I, QMHA)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CACD I, QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 GATEWAY ST APT 82
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-1010
Mailing Address - Country:US
Mailing Address - Phone:514-914-0314
Mailing Address - Fax:
Practice Address - Street 1:1 SERENITY LN
Practice Address - Street 2:
Practice Address - City:COBURG
Practice Address - State:OR
Practice Address - Zip Code:97408-9350
Practice Address - Country:US
Practice Address - Phone:541-687-1110
Practice Address - Fax:541-683-9061
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor