Individual
MRS. CHERYL TARDOSKY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMHC
Contact information
Practice address
3063 SW 92ND ST, GAINESVILLE, FL 32608-7934
(352) 333-7239
Mailing address
3063 SW 92ND ST, GAINESVILLE, FL 32608-7934
(352) 333-7239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH3276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#Z6508
BLUE CROSS/BLUE SHIELD PROVIDER NUMBER
FL
Enumeration date
12/01/2010
Last updated
12/01/2010
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