Individual
CHERYL LYNETTE SHADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 S RIDGEWOOD AVE STE 204C-205, DAYTONA BEACH, FL 32114-4927
(386) 747-6541
Mailing address
1969 EUSTACE AVE, DELTONA, FL 32725-3907
(386) 847-8392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25810
FL
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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