Doctor Name: | MRS. CYNTHIA MARLOWE CHEERS |
NPI Number: | 1497960389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | 4055 |
Business Practice Address: | 113 Causeway Dr Unit B1 Ocean Isle Beach, NC - 284697502 |
Business Phone Number: | 9106198586 |
Business Fax Number: | |
Mailing Address: | 120 Shallotte Crossing Pkwy Ste 5, #333 SHALLOTTE |
State: | NC |
Postal Code: | 284708118 |
Phone Number: | 9106198586 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |