Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 4021-226 | WI |
NPI | 1003394420 |
---|---|
Provider Name | Virginia Kay Welle |
First Address | New Auburn, WI 54757-5414 |
Second Address | Chippewa Falls, WI 54729-3402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2018 |
Last Update Date | 30/07/2018 |