Individual
EBONY Y WALKER-CHERILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
1091 BROAD STREET, NEWARK, NJ 07114
(862) 343-0118
Mailing address
1017 BERTRAM TER, UNION, NJ 07083-7042
(862) 343-0118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00303800
NJ
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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