Healthcare Provider Details

I. General information

NPI: 1386884955
Provider Name (Legal Business Name): SUSAN WELCH LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 HARTNELL ST UNIT 4131
MONTEREY CA
93942-7137
US

IV. Provider business mailing address

PO BOX 4131
MONTEREY CA
93942-4131
US

V. Phone/Fax

Practice location:
  • Phone: 707-241-5637
  • Fax:
Mailing address:
  • Phone: 707-241-5637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTI45961
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: