Individual
CHERYL ANN WAKEHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC
Contact information
Practice address
441 S HAM LN, SUITE A, LODI, CA 95242-3525
(209) 224-8940
Mailing address
441 S HAM LN, SUITE A, LODI, CA 95242-3525
(209) 224-8940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
01/06/2017
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