| Doctor Name: | MS. CHERYLL A TERRANCE |
| NPI Number: | 1255450664 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CASAC |
| License Number: | 5301 |
| Business Practice Address: | 27 Brighton St Massena, NY - 13662 |
| Business Phone Number: | 3157640718 |
| Business Fax Number: | 3157691893 |
| Mailing Address: | 80 State Highway 310, Suite 1 CANTON |
| State: | NY |
| Postal Code: | 136171493 |
| Phone Number: | 3153862189 |
| Fax Number: | 3153862435 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5301 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |