Provider Demographics
NPI:1003008020
Name:SANTACATERINA, CHERYL (MS)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:SANTACATERINA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 WESTERN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-2642
Mailing Address - Country:US
Mailing Address - Phone:802-748-2220
Mailing Address - Fax:
Practice Address - Street 1:161 WESTERN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-2642
Practice Address - Country:US
Practice Address - Phone:802-748-2220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097-0001188101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health