Individual
MR. MICHAEL DALE WELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
6105 OUTER LOOP, LOUISVILLE, KY 40219-4162
(502) 969-7654
Mailing address
8901 ASH AVE, PEWEE VALLEY, KY 40056-9016
(502) 241-3102
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0567
KY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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