Individual
MR. CHAD THOMAS WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4509 N ILLINOIS ST STE 5, SWANSEA, IL 62226-1524
(314) 884-1947
(314) 408-2355
Mailing address
4254 BASSEN DR, SWANSEA, IL 62226-7910
(618) 558-0671
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.011128
IL
101YP2500X
Professional Counselor
Primary
180010931
IL
Other
Enumeration date
08/27/2015
Last updated
03/06/2024
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