| Doctor Name: | ROLAND WELLER |
| NPI Number: | 1093138398 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0006103 |
| Business Practice Address: | 6475 Old Wadsworth Blvd Suite # 324 Arvada, CO - 800034437 |
| Business Phone Number: | 3034672624 |
| Business Fax Number: | 3034318410 |
| Mailing Address: | 6475 Old Wadsworth Blvd, Suite # 324 ARVADA |
| State: | CO |
| Postal Code: | 800034437 |
| Phone Number: | 3034672624 |
| Fax Number: | 3034318410 |
| NPI Enumeration Date: | 01/23/2014 |
| NPI Last Update Date: | 01/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0006103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |