Individual
DANIEL CHARLES WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, MS
Contact information
Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 241-6023
(970) 242-8330
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001090
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/15/2015
Last updated
09/13/2018
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