MEDICARE: KAREN ELIZABETH WELKER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	77176	TX

General Provider Information

NPI Number	:	1316427362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ELIZABETH WELKER LPC

Provider Business Mailing Address
First Line	:	7660 E BROADWAY BLVD STE B-107
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3774
Country	:	US
Telephone Number	:	832-535-1994
Fax Number	:

Provider Business Practice Location Address
First Line	:	7660 E BROADWAY BLVD STE B-107
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3774
Country	:	US
Telephone Number	:	832-535-1994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2018
Last Update Date	:	09/26/2022

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