Individual
MR. PAUL ALLEN WELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AS,CDP
Contact information
Practice address
309 OAK ST, KELSO, WA 98626-2340
(360) 577-7442
(360) 577-7904
Mailing address
309 OAK ST, KELSO, WA 98626-2340
(360) 577-7442
(360) 577-7904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005342
WA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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