Provider Demographics
NPI:1205655479
Name:WELCH, CHRISTOPHER I (LCADC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:WELCH
Suffix:I
Gender:M
Credentials:LCADC
Other - Prefix:MR
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:WELCH
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:LCADC
Mailing Address - Street 1:151 S EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-3309
Mailing Address - Country:US
Mailing Address - Phone:609-385-3377
Mailing Address - Fax:
Practice Address - Street 1:40 STIRLING RD STE 208
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-5900
Practice Address - Country:US
Practice Address - Phone:908-801-6974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00394800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)