Provider Demographics
NPI:1649246711
Name:WELTON, CAROL (MS, NCC, LPC)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:WELTON
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 W 10TH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3047
Mailing Address - Country:US
Mailing Address - Phone:541-344-1889
Mailing Address - Fax:
Practice Address - Street 1:433 W 10TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3047
Practice Address - Country:US
Practice Address - Phone:541-344-1889
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORCO200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health