Individual
CHERYL BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 N HIGH ST, CHILLICOTHE, OH 45601-1631
(740) 703-9615
Mailing address
336 N HIGH ST, CHILLICOTHE, OH 45601-1631
(740) 703-9615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629722962
—
OH
Enumeration date
02/14/2022
Last updated
02/14/2022
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