Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E0800130 | OH |
NPI | 1003241647 |
---|---|
Provider Name | Constance Marie Welsh |
First Address | Columbus, OH 43214-3601 |
Second Address | Columbus, OH 43214-4031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2013 |
Last Update Date | 12/09/2013 |