Individual
CHESTER ORLAND WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
927 TRETTEL LN, FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-2188
Mailing address
20 BURGER DR, DULUTH, MN 55808-1922
(218) 626-2395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300211
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP000
FDLHSD UPIN
MN
Enumeration date
01/17/2007
Last updated
07/08/2007
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