Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003306531 |
---|---|
Provider Name | Cheryl Lynn Delaney |
First Address | Jackson Heights, NY 11372-6338 |
Second Address | Jackson Heights, NY 11372-6338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2018 |
Last Update Date | 10/05/2018 |