Provider Demographics
NPI:1942639968
Name:WELDON, GEORGE JR (LMHC, NCC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:WELDON
Suffix:JR
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-2305
Mailing Address - Country:US
Mailing Address - Phone:845-728-1181
Mailing Address - Fax:
Practice Address - Street 1:219 HENRY ST
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-2305
Practice Address - Country:US
Practice Address - Phone:845-728-1181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health