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Provider Information for 1033818125


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Mrs. DIANE MARIE WELCH LMHC


Sex: Female

NPI: 1033818125
Last Updated: 2023-02-27
Certification Date: 2023-02-14

Details

NameValue
NPI1033818125
Enumeration Date2023-02-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 56 LATCHMERE DR
VICTOR, NY 14564-1235
United States

Phone: 585-737-1354 | Fax:
 
Primary Practice Address 349 W COMMERCIAL ST STE 2195
EAST ROCHESTER, NY 14445-2414
United States

Phone: 585-737-1354 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NY09-18-1967Mental Health Counseling
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthNY0133177
Yes 101YM0800X - Counselor - Mental HealthNY013177