MEDICARE: MISS SHERRI JEANNE D'ALESSANDRO M.S.W

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

General Provider Information

NPI Number	:	1518086149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SHERRI JEANNE D'ALESSANDRO M.S.W

Provider Business Mailing Address
First Line	:	19141 KANAWHA DR
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-9394
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 CHURCH ST N
Second Line	:	SUITE 305
City	:	CONCORD
State	:	NC
Zip	:	28025-4300
Country	:	US
Telephone Number	:	704-262-1320
Fax Number	:	704-262-1322

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	09/07/2023

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