Individual
CHERYL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
209 PARK ST, MALONE, NY 12953-1228
(518) 483-8980
Mailing address
209 PARK ST, MALONE, NY 12953-1228
(518) 483-8980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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