MEDICARE: MISAYO WELKE LPCC

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

General Provider Information

NPI Number	:	1336963545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISAYO WELKE LPCC

Provider Business Mailing Address
First Line	:	3077 WOLFENSBERGER RD
Second Line	:
City	:	SEDALIA
State	:	CO
Zip	:	80135-8530
Country	:	US
Telephone Number	:	408-828-2621
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 W 38TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-2611
Country	:	US
Telephone Number	:	720-779-0351
Fax Number	:

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

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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Directions to “ MISAYO WELKE LPCC” Practice Location

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