| Doctor Name: | DAVID WELCH |
| NPI Number: | 1063582047 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC |
| License Number: | |
| Business Practice Address: | 390 E Congress Pkwy Suite J Crystal Lake, IL - 600146202 |
| Business Phone Number: | 8153565050 |
| Business Fax Number: | 8153565094 |
| Mailing Address: | 1701 E. Woodfield Road, Suite 1000 SCHAUMBURG |
| State: | IL |
| Postal Code: | 601735113 |
| Phone Number: | 8153565050 |
| Fax Number: | 8472402418 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |