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Individual

MS. CHERYL RAE WANTLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
387 N OAK ST, UKIAH, CA 95482-4302
(707) 468-4185
Mailing address
387 N OAK ST, UKIAH, CA 95482-4302
(707) 468-4185

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LCS20517
CA
1041C0700X
Clinical Social Worker
LCS20517
CA

Other

Enumeration date
02/14/2007
Last updated
09/11/2025
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