Provider Demographics
NPI:1407298086
Name:WELCH, MARIA AMOR (LMFT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:AMOR
Last Name:WELCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:AMOR
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1405 SPRUCE ST STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-2410
Mailing Address - Country:US
Mailing Address - Phone:951-900-7344
Mailing Address - Fax:
Practice Address - Street 1:1405 SPRUCE ST STE A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2410
Practice Address - Country:US
Practice Address - Phone:951-855-4181
Practice Address - Fax:951-358-0762
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist