Organization
CHERYL KABANA-ROSS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL KABANA-ROSS LCSW (PRESIDENT)
(757) 594-9701
Entity
Organization
Contact information
Practice address
753 THIMBLE SHOALS BLVD, SUITE 2A, NEWPORT NEWS, VA 23606-3564
(757) 594-9701
(757) 594-9830
Mailing address
753 THIMBLE SHOALS BLVD, SUITE 2A, NEWPORT NEWS, VA 23606-3564
(757) 594-9701
(757) 594-9830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001690
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083677
OPTIMA
VA
01
—
155745
VALUE OPTIONS
VA
01
—
285860
ANTHEM BLUE CROSS BLUE SHIELD
VA
05
—
8927090
—
VA
Enumeration date
06/09/2008
Last updated
06/09/2008
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