Doctor Name: | MS. SANDRA CHERRY |
NPI Number: | 1336401215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3520 |
Business Practice Address: | 400 N Wright St Burgaw, NC - 284255410 |
Business Phone Number: | 9102590145 |
Business Fax Number: | 9102590148 |
Mailing Address: | 400 N Wright St, BURGAW |
State: | NC |
Postal Code: | 284255410 |
Phone Number: | 9102590145 |
Fax Number: | 9102590148 |
NPI Enumeration Date: | 06/15/2012 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |