Individual
CHEYENNE LEE NOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3251 ROUTE 112 STE 2, MEDFORD, NY 11763-1446
(631) 451-6007
(631) 297-8121
Mailing address
29 CHEROKEE TRL, RIDGE, NY 11961-1838
(632) 655-3094
(631) 297-8121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017100-01
NY
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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