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Individual

CHERYL BRADT-HYLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT

Contact information

Practice address
21 AVIATION RD, ALBANY, NY 12205-1141
(518) 788-7894
Mailing address
316 ALEXANDER AVE, SCOTIA, NY 12302-1102
(518) 788-7894

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000920-1
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
11448
NY

Other

Enumeration date
01/13/2012
Last updated
04/12/2012
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