Provider Demographics
NPI:1821523911
Name:WELSCH, KATHRYN ANNA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ANNA
Last Name:WELSCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ANNA
Other - Last Name:SLIPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2322
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-0106
Mailing Address - Country:US
Mailing Address - Phone:949-547-1855
Mailing Address - Fax:
Practice Address - Street 1:650 D AVE
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-2113
Practice Address - Country:US
Practice Address - Phone:949-547-1855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108828106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist