Provider Demographics
NPI:1881774107
Name:WELSH, CHRISTINA LEE (LBSW, QMRP, QMHP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LEE
Last Name:WELSH
Suffix:
Gender:F
Credentials:LBSW, QMRP, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 E SANILAC AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:MI
Mailing Address - Zip Code:48471-1160
Mailing Address - Country:US
Mailing Address - Phone:810-583-0323
Mailing Address - Fax:810-648-5107
Practice Address - Street 1:227 E SANILAC AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-1160
Practice Address - Country:US
Practice Address - Phone:810-583-0323
Practice Address - Fax:810-648-5107
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802084958104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker