Provider Demographics
NPI:1174778039
Name:SHERRY, ANNE R (LPC, LCAS, CCS)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:R
Last Name:SHERRY
Suffix:
Gender:F
Credentials:LPC, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3159
Mailing Address - Country:US
Mailing Address - Phone:828-545-1358
Mailing Address - Fax:
Practice Address - Street 1:775 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3159
Practice Address - Country:US
Practice Address - Phone:828-545-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional