Individual
CHERYL EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1523 JARVIS AVE, BRONX, NY 10461-5604
(347) 880-6466
Mailing address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(347) 510-3643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17787
NY
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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