Individual
MRS. KATHLEEN MARIE WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1550 E BELTLINE AVE SE STE 255, GRAND RAPIDS, MI 49506-4362
(616) 747-0700
Mailing address
1550 E BELTLINE AVE SE STE 255, GRAND RAPIDS, MI 49506-4362
(616) 747-0700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011108
MI
Other
Enumeration date
01/17/2007
Last updated
09/24/2025
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