MEDICARE: CHERDELL WASHINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PC020306	PA

General Provider Information

NPI Number	:	1285570259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERDELL WASHINGTON

Provider Business Mailing Address
First Line	:	8 N QUEEN ST FL 10
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 N QUEEN ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3816
Country	:	US
Telephone Number	:	717-297-0515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ CHERDELL WASHINGTON ” Practice Location

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