Provider Demographics
NPI:1689295784
Name:WELCH, ANGELA MAY (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MAY
Last Name:WELCH
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20303 GARDNER CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-4702
Mailing Address - Country:US
Mailing Address - Phone:360-826-7676
Mailing Address - Fax:
Practice Address - Street 1:4340 PACIFIC HWY UNIT 208
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-9344
Practice Address - Country:US
Practice Address - Phone:360-826-7676
Practice Address - Fax:360-826-7677
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor