| Doctor Name: | CHERYL MARIELLE KANTZLER |
| NPI Number: | 1487614582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LMHC, CRC, CAP |
| License Number: | 4037 |
| Business Practice Address: | 2510 Tamiami Trl N Nokomis, FL - 342753476 |
| Business Phone Number: | 9413131878 |
| Business Fax Number: | |
| Mailing Address: | 3338 Williamsburg St, SARASOTA |
| State: | FL |
| Postal Code: | 342318230 |
| Phone Number: | 9413131878 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 4037 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |