Individual
AMY MARIE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 E 5TH ST, NEWPORT, KY 41071-1618
(859) 781-5596
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
2012-037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
01
—
7184
MEDI-CAL
CA
01
—
7368
MEDI-CAL
CA
01
—
7667
MEDI-CAL
CA
01
—
7708
MEDI-CAL
CA
Enumeration date
02/22/2011
Last updated
01/31/2013
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