Individual
CHERYL CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7247 OWENSMOUTH AVE, CANOGA PARK, CA 91303-1530
(818) 593-4581
Mailing address
20954 BRYANT ST, CANOGA PARK, CA 91304-2844
(818) 593-4581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A0633827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7086
PROVIDER NUMBER
CA
Enumeration date
04/23/2007
Last updated
07/08/2007
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