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NPI Code Detail

MEDICARE: MRS. CHERYL ANN CARSWELL MS, LPC

MEDICARE: MRS. CHERYL ANN CARSWELL MS, LPC
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
1101YP2500XProfessional CounselorLPC004573GA

General Provider Information

NPI Number : 1497805758
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERYL ANN CARSWELL MS, LPC
Provider Business Mailing Address
First Line : 4145 COLUMBIA RD
Second Line :
City : MARTINEZ
State : GA
Zip : 30907-5400
Country : US
Telephone Number : 706-869-7373
Fax Number : 706-869-7380
Provider Business Practice Location Address
First Line : 4145 COLUMBIA RD
Second Line :
City : MARTINEZ
State : GA
Zip : 30907-5400
Country : US
Telephone Number : 706-869-7373
Fax Number : 706-869-7380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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