Provider Demographics
NPI:1336772599
Name:WELCH, JOSEPH COLLIN (LPC-MH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:COLLIN
Last Name:WELCH
Suffix:
Gender:M
Credentials:LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W 43RD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6805
Mailing Address - Country:US
Mailing Address - Phone:605-334-4549
Mailing Address - Fax:
Practice Address - Street 1:309 W 43RD ST STE 101
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6805
Practice Address - Country:US
Practice Address - Phone:605-334-4549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH30532101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health