Individual
CEDRICK MATTHEW TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(540) 500-3424
Mailing address
6502 VINELAND AVE, NORTH HOLLYWOOD, CA 91606-2769
(540) 500-3424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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