Individual
ROBERTA DARLENE CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 FRANKLIN ST, ELMIRA, NY 14904-1737
(607) 215-3619
Mailing address
101 FRANKLIN ST, ELMIRA, NY 14904-1737
(607) 215-3619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
105003-1
NY
101YP2500X
Professional Counselor
Primary
1050031
NY
Other
Enumeration date
06/06/2019
Last updated
01/19/2024
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