Individual
CHERYL WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
360 ARDMOOR DR, WHITELAND, IN 46184-1402
(317) 946-4979
Mailing address
5800 S OAKRIDGE DR LOT 40, HOMOSASSA, FL 34448-4948
(317) 946-4979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000548A
IN
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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