Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 44SC00576800 | NJ |
NPI | 1003208885 |
---|---|
Provider Name | Ms. Cheryl J Mercer |
First Address | Mays Landing, NJ 08330-1686 |
Second Address | Mays Landing, NJ 08330-1686 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2015 |
Last Update Date | 03/03/2015 |