Individual
TANISHA LATRICE CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
2901 N HERRITAGE ST, KINSTON, NC 28501-1581
(252) 233-2383
(252) 523-3148
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7561
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS21300
NC
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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