Provider Demographics
NPI:1972341667
Name:KEE, CHERYL MARIA (AA)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:MARIA
Last Name:KEE
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NA
Mailing Address - Street 1:PO BOX 1490
Mailing Address - Street 2:
Mailing Address - City:FORT DEFIANCE
Mailing Address - State:AZ
Mailing Address - Zip Code:86504-1490
Mailing Address - Country:US
Mailing Address - Phone:928-729-4012
Mailing Address - Fax:928-729-4200
Practice Address - Street 1:PO BOX 1490
Practice Address - Street 2:
Practice Address - City:FORT DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504-1490
Practice Address - Country:US
Practice Address - Phone:928-729-4012
Practice Address - Fax:928-729-4200
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)