Cherich, Carol Jean

Cherich, Carol Jean is an individual health care provider with primary practice located at 4401 S Coulter St Apt 1913 , Amarillo TX 79109-5068. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Cherich, Carol Jean can be contacted via phone (505) 870-1855.

Contact Information

Primary practice address
4401 S Coulter St Apt 1913 Amarillo TX 79109-5068
Phone: (505) 870-1855
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0089181 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X 0101181 New Mexico

Profile Details

NPI number 1124026596
LBN Legal business name Cherich, Carol Jean
Credentials LPC-LADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Aug 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124026596 NPPES
New Mexico MEDICAID 1124026596

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