Individual
JENNIFER WELVAERT-KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED, LCPC
Contact information
Practice address
4703 44TH ST, ROCK ISLAND, IL 61201-7189
(309) 788-9581
(309) 786-3856
Mailing address
4703 44TH ST, ROCK ISLAND, IL 61201-7189
(309) 788-9581
(309) 786-3856
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.010882
IL
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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