Most Relevant Information
Provider Data
| NPI Number: | 1003014119 |
| Provider Name: | CHERYL LEIGH ROUSE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 49438 |
Most Important Dates
| Enumeration Date: | 07/10/2007 |
| Last Updated: | 07/10/2007 |
Provider Practice Location
3490 THE ALAMEDA
SANTA CLARA
CA
950504333
Practice Location Phone/Fax
| Phone: | 4082430222 |
| Fax: |
Provider Mailing Location
3490 THE ALAMEDA
SANTA CLARA
CA
950504333
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |