CHERIL NICOLE PETRONI
NPI 1962769364
Counselor - Professional in Modesto, CA
Active since April 23, 2012
About Cheril Nicole Petroni NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERIL NICOLE PETRONI (NPI 1962769364) is an individual professional provider in Modesto, California, licensed in California (78495) and active in the NPI registry since April 2012.
NPPES Registry Identity
NPI1962769364
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHERIL NICOLE PETRONI
Location Address1620 CUMMINS DRModesto, CA 95358-6400
Mailing Address1620 Cummins DrModesto, CA 95358-6400 · (209) 576-1750
Phone(209) 576-1750
Sole ProprietorNo
Enumeration DateApril 23, 2012
Last NPPES UpdateJune 30, 2015
✔ NPI 1962769364 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 78495
1620 CUMMINS DR, Modesto, CA 95358
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962769364, enumerated as an "individual" on April 23, 2012.
The provider is located at 1620 CUMMINS DR MODESTO, CA 95358 and the phone number is (209) 576-1750.
Counselor with taxonomy code 101YP2500X and a focus in Professional.