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General NPI Number Information
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NPI Number | 1831040211
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Entity Type | Organization
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Legal Business Name | CHERI MCCORMACK COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 10939 N BRANTLEY RD
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City | HAYDEN
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State | ID
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Zip | 83835-8919
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Country | US
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Telephone | 208-661-1495
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Fax | 208-661-1495
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Provider Business Mailing Address
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Address Line | 10939 N BRANTLEY RD
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City | HAYDEN
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State | ID
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Zip | 83835-8919
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Country | US
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Telephone | 208-661-1495
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Fax | 208-661-1495
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Authorized Official
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Title or Position | PROVIDER
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Name | CHERI MCCORMACK
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Credential | LCPC
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Telephone | 208-661-1495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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