Individual
OVISTON WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-A ; RMHCI
Contact information
Practice address
2101 GARNER RD, RALEIGH, NC 27610-0114
(919) 832-4453
(919) 829-1357
Mailing address
7207 N NEBRASKA AVE, TAMPA, FL 33604-4916
(813) 236-1182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS24107
NC
Other
Enumeration date
01/02/2018
Last updated
08/12/2020
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