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Individual

MS. CHERYL RUTH PINGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
84 W LOWDER ST STE C, MACCLENNY, FL 32063-2638
(904) 259-4671
(904) 259-5187
Mailing address
84 W LOWDER ST STE C, MACCLENNY, FL 32063-2638
(904) 259-4671
(904) 259-5187

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9479
FL
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000459900
FL
05
000903900
FL
Enumeration date
06/06/2008
Last updated
12/29/2009
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