| Doctor Name: | MR. CLIFTON J. WELDON |
| NPI Number: | 1285898130 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 2923 W Cheltenham Ave Wyncote, PA - 190952931 |
| Business Phone Number: | 2672251730 |
| Business Fax Number: | |
| Mailing Address: | 5159 N 9th St, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191414003 |
| Phone Number: | 2154573031 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |