MEDICARE: KAREN E. WELKER LPC PLLC

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LPC18518	OTHER	AZ	AZ STATE LICENSE

General Provider Information

NPI Number	:	1730803503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN E. WELKER LPC PLLC

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	:	PRESIDENT/OWNER
Name	:	KAREN E WELKER
Credential	:	LPC
Telephone Number	:	832-535-1994

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	09/26/2022

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