Provider Demographics
NPI:1053517680
Name:CHOY, CHERYL LYNN (CAS II)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LYNN
Last Name:CHOY
Suffix:
Gender:F
Credentials:CAS II
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6260 BUCKTAIL LN
Mailing Address - Street 2:6260 BUCKTAIL LANE
Mailing Address - City:POLLOCK PINES
Mailing Address - State:CA
Mailing Address - Zip Code:95726-9013
Mailing Address - Country:US
Mailing Address - Phone:530-644-8632
Mailing Address - Fax:530-622-4017
Practice Address - Street 1:893 SPRING ST
Practice Address - Street 2:893 SPRING ST.
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-4437
Practice Address - Country:US
Practice Address - Phone:530-622-8192
Practice Address - Fax:530-622-4017
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor