Individual
KEVIN CHERRY JR.
Active
Individual
KEVIN CHERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000812
CO
101YP2500X
Professional Counselor
Primary
0012034
CO
Other
Enumeration date
01/29/2015
Last updated
10/22/2024
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