Individual
CHERYL HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3026
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/23/2007
Last updated
05/27/2025
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