Individual
EDNINA WELTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3976 N AVONDALE AVE FL 2, CHICAGO, IL 60641-2900
(253) 254-6882
Mailing address
3976 N AVONDALE AVE FL 2, CHICAGO, IL 60641-2900
(253) 254-6882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180007504
IL
101YP2500X
Professional Counselor
Primary
180.007504
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180007504
—
IL
Enumeration date
01/18/2017
Last updated
06/07/2024
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