Organization
CHERYL NIX LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL NIX LCSW (OWNER)
(541) 797-1643
Entity
Organization
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 416-3697
Mailing address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
06/21/2020
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