Individual
STEPHANIE WELDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 NE 41ST ST STE 200, VANCOUVER, WA 98662-6772
(971) 373-7812
Mailing address
9407 NE VANCOUVER MALL DR STE 104, VANCOUVER, WA 98662-6191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MG61375772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
WA
Enumeration date
04/20/2021
Last updated
01/17/2023
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