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Individual

DR. JOHNNIE M WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC (MHSP), LMFT,

Contact information

Practice address
330 TATE RD, DYERSBURG, TN 38024-8812
(731) 287-9008
Mailing address
PO BOX 1506, DYERSBURG, TN 38025-1506
(731) 287-9008

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
244
TN
101YM0800X
Mental Health Counselor
Primary
839
TN
101YP1600X
Pastoral Counselor
45
TN
101YP2500X
Professional Counselor
839
TN
106H00000X
Marriage & Family Therapist
337
TN

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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