CHERYL WOOTERS


Address: 6754 Mountain Ave, Highland, CA 92346-2715
Phone: 9095229108

CHERYL WOOTERS (NPI# 1376198291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376198291
Entity Type Individual
Full Name CHERYL WOOTERS
Practice Address 6754 Mountain Ave
Highland
CA 92346-2715
Mailing Address 401 S Tustin St
Orange
CA 92866-2550
Practice Telephone 9095229108
Enumeration Date 2019-08-07
Last Update Date 2019-08-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 6754 MOUNTAIN AVE
City HIGHLAND
State CA
Zip Code 92346-2715

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City HIGHLAND
Zip Code 92346

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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