Individual
CHERI MCCORMACK FRESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10939 N BRANTLEY RD, HAYDEN, ID 83835-8919
(208) 661-1495
(208) 545-5222
Mailing address
10939 N BRANTLEY RD, HAYDEN, ID 83835-8919
(208) 661-1495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-5190
ID
Other
Enumeration date
08/24/2011
Last updated
06/18/2026
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