Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003077512 |
---|---|
Provider Name | Cheryl Cotton |
First Address | Mechanicsburg, PA 17050-3005 |
Second Address | Mechanicsburg, PA 17055-4374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 18/06/2008 |