Doctor Name: | CARLA WELCH |
NPI Number: | 1639324361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSAC II |
License Number: | |
Business Practice Address: | 500 Hwy J North Hayti, MO - 63851 |
Business Phone Number: | 5733592600 |
Business Fax Number: | 5733591103 |
Mailing Address: | Po Box 441, HAYTI |
State: | MO |
Postal Code: | 638510441 |
Phone Number: | 5733592600 |
Fax Number: | 5733591103 |
NPI Enumeration Date: | 11/21/2008 |
NPI Last Update Date: | 05/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |