Provider Demographics
NPI:1740943158
Name:WELCH, CARI NICOLE (LPC REGISTERED ASSOC)
Entity type:Individual
Prefix:
First Name:CARI
Middle Name:NICOLE
Last Name:WELCH
Suffix:
Gender:F
Credentials:LPC REGISTERED ASSOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2905
Mailing Address - Street 2:
Mailing Address - City:SUNRIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97707-2900
Mailing Address - Country:US
Mailing Address - Phone:954-546-4673
Mailing Address - Fax:
Practice Address - Street 1:56835 VENTURE LN STE 206D
Practice Address - Street 2:
Practice Address - City:SUNRIVER
Practice Address - State:OR
Practice Address - Zip Code:97707-2122
Practice Address - Country:US
Practice Address - Phone:954-546-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty