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Individual

ALBERT LEE CHERRY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4104 DELTA ST, SAN DIEGO, CA 92113-4113
(619) 264-0141
(619) 264-7274
Mailing address
4104 DELTA ST, SAN DIEGO, CA 92113-4113
(619) 264-0141
(619) 264-7274

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
125824
CA

Other

Enumeration date
01/22/2019
Last updated
01/22/2019
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