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Individual

MS. CHERYL MARIE EMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
515 W GARDENA BLVD, SUITE 11, GARDENA, CA 90248-2629
(310) 766-0633
Mailing address
515 W GARDENA BLVD, SUITE 11, GARDENA, CA 90248-2629
(310) 766-0633

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01-090266
CA

Other

Enumeration date
10/22/2009
Last updated
10/22/2009
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