Individual
CAITLIN R WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH, LAAT
Contact information
Practice address
401 E 12TH ST, WILMINGTON, DE 19801-3403
(302) 576-8080
(302) 576-8084
Mailing address
401 E 12TH ST, WILMINGTON, DE 19801-3403
(302) 576-8080
(302) 576-8084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011332
DE
221700000X
Art Therapist
AS-0010001
DE
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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