National Provider Identifier
Jarid Isaiah Cheatham, CASAC #31237
Jarid Isaiah Cheatham, CASAC #31237 is listed in the NPPES registry with a primary specialty of Counselor in Rochester, NY and a listed phone number of (585) 325-4910.
Profile Overview
- NPI
- 1558852038
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- May 21, 2018
- Last Updated
- May 21, 2018
Practice Location
- 585 Joseph Ave
- Rochester, NY 14605-1215
Phone: (585) 325-4910
Mailing Address
- 152 Baden St
- Rochester, NY 14605-2054
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1558852038
- Entity Type
- Individual
- Last Name
- Cheatham
- First Name
- Jarid
- Middle Name
- Isaiah
- Name Prefix
- Mr.
- Credential
- CASAC #31237
- Mailing Street Address
- 152 Baden St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2054
- Mailing Country
- US
- Mailing Phone
- (585) 325-4910
- Mailing Fax
- (585) 546-1491
- Practice Street Address
- 585 Joseph Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-1215
- Practice Country
- US
- Practice Phone
- (585) 325-4910
- Practice Fax
- (585) 546-1491
- Enumeration Date
- May 21, 2018
- Last Updated
- May 21, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)