Individual provider · Type 1 NPI

Cheryl Bourne, CRC

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1386765600 Active

Practice location

8268 164th St
Jamaica, NY 11432-1121

Call (718) 883-3225 Map

Fax (718) 883-6193

Mailing address

7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11761 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386765600

Cheryl Bourne, CRC's National Provider Identifier is 1386765600, issued on Apr 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Jul 8, 2007.