Provider Demographics
NPI:1184077257
Name:VELEZ, CHERISE
Entity type:Individual
Prefix:
First Name:CHERISE
Middle Name:
Last Name:VELEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7830 N POINT BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3261
Mailing Address - Country:US
Mailing Address - Phone:336-896-0904
Mailing Address - Fax:336-896-1402
Practice Address - Street 1:7830 N POINT BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3261
Practice Address - Country:US
Practice Address - Phone:336-896-0904
Practice Address - Fax:336-896-1402
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)