| Nicole Miyako Cherry, | |
|
2232 Larch St Apt B, Alhambra, CA 91801-6509 | |
| (323) 804-2577 | |
| Not Available |
| Full Name | Nicole Miyako Cherry |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2232 Larch St Apt B, Alhambra, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790839876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 26106 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Miyako Cherry, Po Box 1192, South Pasadena, CA 91031-1192 Ph: () - | Nicole Miyako Cherry, 2232 Larch St Apt B, Alhambra, CA 91801-6509 Ph: (323) 804-2577 |
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