Provider Demographics
NPI:1902967417
Name:LLOYD, CHERI JACOBSEN (MFT)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:JACOBSEN
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 W HUFFAKER LN
Mailing Address - Street 2:#303
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512
Mailing Address - Country:US
Mailing Address - Phone:775-852-9770
Mailing Address - Fax:775-588-9550
Practice Address - Street 1:180 W HUFFAKER LN
Practice Address - Street 2:#303
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512
Practice Address - Country:US
Practice Address - Phone:775-852-9770
Practice Address - Fax:775-588-9550
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV0725106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist