Individual
MRS. CHERYL RENEE HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., CADAC II
Contact information
Practice address
204 S MAIN ST, ELKHART, IN 46516-3120
(574) 293-1086
(574) 522-7461
Mailing address
114 N MAIN ST, GOSHEN, IN 46526-3207
(574) 533-6154
(574) 534-3951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
28125454A
IN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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