Individual
CHERI WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 E SAGINAW WAY, SUITE #102, FRESNO, CA 93704-4458
(559) 274-0299
(559) 244-0328
Mailing address
1617 E SAGINAW WAY, SUITE #102, FRESNO, CA 93704-4458
(559) 274-0299
(559) 244-0328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669559878
ART NPI NUMBER
CA
Enumeration date
04/18/2007
Last updated
04/04/2013
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