Individual
CHERYL WALPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAT, LPAT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001510
NY
101YP2500X
Professional Counselor
90363
TX
221700000X
Art Therapist
Primary
001510
NY
221700000X
Art Therapist
16LP00016500
NJ
Other
Enumeration date
06/29/2015
Last updated
12/14/2022
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