Individual
DENISE MARIE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LBS, ICADC, MAC
Contact information
Practice address
400 FARM LN STE A, DOYLESTOWN, PA 18901-4740
(215) 712-2582
Mailing address
906 MONARCH CT, CHALFONT, PA 18914-2057
(215) 712-2582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8788
PA
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-4621588
—
PA
05
—
8788
—
PA
Enumeration date
10/19/2018
Last updated
02/16/2021
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