Provider Demographics
NPI:1538896840
Name:CHERRY, JAHAYA L (CADC)
Entity type:Individual
Prefix:MRS
First Name:JAHAYA
Middle Name:L
Last Name:CHERRY
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:MRS
Other - First Name:JAHAYA
Other - Middle Name:L
Other - Last Name:CHERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JAHAYA CHERRY, CDAC
Mailing Address - Street 1:101 MAIN ST W
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-3301
Mailing Address - Country:US
Mailing Address - Phone:252-332-2297
Mailing Address - Fax:
Practice Address - Street 1:101 MAIN ST W
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3301
Practice Address - Country:US
Practice Address - Phone:252-332-2297
Practice Address - Fax:252-332-2416
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCADC-14597101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)