Individual
CHERYL G PEATS CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
Mailing address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 933-7890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
MH13554
FL
Other
Enumeration date
08/01/2012
Last updated
10/08/2015
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