Doctor Name: | MS. CHERYL DIANE HARRELL |
NPI Number: | 1306273024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | |
Business Practice Address: | 8 Goffe St Suite B-1 Hadley, MA - 010359559 |
Business Phone Number: | 4134243818 |
Business Fax Number: | |
Mailing Address: | 8 Goffe St, Suite B-1 HADLEY |
State: | MA |
Postal Code: | 010359559 |
Phone Number: | 4134243818 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2013 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |