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NPI 1316937956

NPI 1316937956 : THOMAS EDWARD WELTER MC LPCC : SANTA FE, NM

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General NPI Number Information
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    NPI Number           |    1316937956
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS EDWARD WELTER MC LPCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/25/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1474 SOUTH ST FRANCIS DRIVE 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87505
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    Country              |    US
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    Telephone            |    505-988-5504
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    Fax                  |    505-988-5504
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Provider Business Mailing Address
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    Address Line         |    1474 SOUTH ST FRANCIS DRIVE 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87505
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    Country              |    US
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    Telephone            |    505-988-5504
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    Fax                  |    505-988-5504
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2906
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    2906
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    License Number State |    NM
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