Individual
MS. CHERYL RUTH PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1520 RICE RD, SUITE 200, TYLER, TX 75703-3259
(903) 581-6300
(903) 581-0235
Mailing address
1520 RICE RD, SUITE 200, TYLER, TX 75703-3259
(903) 581-6300
(903) 581-0235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015MX
BCBS
TX
05
—
095744101
—
TX
05
—
095744102
—
TX
Enumeration date
08/29/2006
Last updated
04/28/2010
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