Individual
CHERYL A NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 416-3697
(541) 416-3707
Mailing address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 416-3697
(541) 416-3707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7878
OR
Other
Enumeration date
11/15/2019
Last updated
07/08/2020
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