Individual
CHERYL DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
24 HOWELL AVE, SUITE 11, BISBEE, AZ 85603-8562
(520) 678-5851
Mailing address
830 N HIGHWAY 191, PEARCE, AZ 85625-4064
(520) 678-5851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17283
AZ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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