Individual
LISA WELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
961 W WILLOW GARDEN PASEO, FARMINGTON, UT 84025-3874
(707) 280-4448
Mailing address
961 W WILLOW GARDEN PASEO, FARMINGTON, UT 84025-3874
(707) 280-4448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9850826-6009
UT
Other
Enumeration date
01/10/2017
Last updated
08/29/2023
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