Individual
CHERYL LYNN VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCDC
Contact information
Practice address
942 S ATLANTIC BLVD, LOS ANGELES, CA 90022-4004
(323) 263-9700
(323) 263-8042
Mailing address
942 S ATLANTIC BLVD, LOS ANGELES, CA 90022-4004
(323) 263-9700
(323) 263-8042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P144
P144
CA
Enumeration date
12/18/2007
Last updated
12/18/2007
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