MEDICARE: ANGELA MARIE WELTON 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	101Y00000X	Counselor	6401012498	MI

General Provider Information

NPI Number	:	1609117142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE WELTON LPC

Provider Business Mailing Address
First Line	:	1600 S CANTON CENTER RD STE 210
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-6276
Country	:	US
Telephone Number	:	734-747-6766
Fax Number	:	734-222-3100

Provider Business Practice Location Address
First Line	:	1600 S CANTON CENTER RD STE 210
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-6276
Country	:	US
Telephone Number	:	734-213-3680
Fax Number	:	734-213-3681

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

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	12/10/2025

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