Provider Demographics
NPI:1942769443
Name:WHETSTONE, CHERYL L (ALC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:WHETSTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ALC
Mailing Address - Street 1:3214 BABETTE CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-3913
Mailing Address - Country:US
Mailing Address - Phone:334-294-8779
Mailing Address - Fax:
Practice Address - Street 1:3214 BABETTE CIR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-3913
Practice Address - Country:US
Practice Address - Phone:334-294-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2813101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional