Individual
CHERISE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
Mailing address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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