Individual
CALISSA NICOLE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12141 OLD DULIN FARMS WAY, CHARLOTTE, NC 28215-5208
(860) 778-5317
Mailing address
12141 OLD DULIN FARMS WAY, CHARLOTTE, NC 28215-5208
(860) 778-5317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8929
CT
1041C0700X
Clinical Social Worker
8929
CT
1041C0700X
Clinical Social Worker
Primary
C014686
NC
Other
Enumeration date
04/01/2015
Last updated
09/28/2023
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