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Individual

DESARAE SHENICE WELCHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
(530) 477-9803
Mailing address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
(530) 477-9803

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
07/19/2018
Last updated
12/30/2019
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