Provider Demographics
NPI:1730256108
Name:LEFEVRE, CHERYL (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:LEFEVRE
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 HORIZON CT STE 220
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-3939
Mailing Address - Country:US
Mailing Address - Phone:970-596-2702
Mailing Address - Fax:844-888-1231
Practice Address - Street 1:743 HORIZON CT STE 100B
Practice Address - Street 2:
Practice Address - City:GRAND JCT
Practice Address - State:CO
Practice Address - Zip Code:81506-8715
Practice Address - Country:US
Practice Address - Phone:970-596-2702
Practice Address - Fax:844-888-1231
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional