| Doctor Name: | ERIC T WELLMAN |
| NPI Number: | 1144402413 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, CRC |
| License Number: | PC004735 |
| Business Practice Address: | 4150 Washington Rd Suite 202 Mc Murray, PA - 153172534 |
| Business Phone Number: | 7249416640 |
| Business Fax Number: | 7249416640 |
| Mailing Address: | Rr 2 Box 161, VALLEY GROVE |
| State: | WV |
| Postal Code: | 260608931 |
| Phone Number: | 3043364282 |
| Fax Number: | 3043364282 |
| NPI Enumeration Date: | 11/28/2007 |
| NPI Last Update Date: | 11/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC004735 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |