Provider Demographics
NPI:1831467406
Name:WELSH, STEVEN J (LPC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:WELSH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5328
Mailing Address - Country:US
Mailing Address - Phone:434-315-3109
Mailing Address - Fax:434-220-4615
Practice Address - Street 1:1020 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5328
Practice Address - Country:US
Practice Address - Phone:434-315-3109
Practice Address - Fax:434-220-4615
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2016-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor