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Individual
JAY A, CHERRY
Active
Individual
JAY A, CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15722
TX
101YP2500X
Professional Counselor
Primary
15722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10119145
—
TX
Enumeration date
01/13/2009
Last updated
06/12/2024
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