Individual
DAVID WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
390 E CONGRESS PKWY, SUITE J, CRYSTAL LAKE, IL 60014-6202
(815) 356-5050
(815) 356-5094
Mailing address
1701 E. WOODFIELD ROAD, SUITE 1000, SCHAUMBURG, IL 60173-5113
(815) 356-5050
(847) 240-2418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633897
BCBS GRP NUMBER
IL
01
—
320078
VALUE OPTIONS GRP NUMBER
IL
Enumeration date
11/08/2006
Last updated
07/08/2007
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