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NPI Code Detail

MEDICARE: DR. MARK ANDREW WELTY LPCC-S

MEDICARE: DR. MARK ANDREW WELTY LPCC-S
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
1101YA0400XAddiction (Substance Use Disorder) CounselorE-0001965OH
2101YM0800XMental Health CounselorE-0001965OH
3101YP2500XProfessional CounselorE-0001965OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942320858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ANDREW WELTY LPCC-S
Provider Business Mailing Address
First Line : PO BOX 670
Second Line :
City : ZOAR
State : OH
Zip : 44697-0670
Country : US
Telephone Number : 330-704-6998
Fax Number :
Provider Business Practice Location Address
First Line : 204 2ND ST NE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2808
Country : US
Telephone Number : 234-801-2469
Fax Number : 330-364-9212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 11/05/2018

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