Individual
MR. MICHAEL EDWARD WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC CSAC
Contact information
Practice address
3240 JACKSON ST, OSHKOSH, WI 54901
(800) 298-8170
Mailing address
3240 JACKSON ST, OSHKOSH, WI 54901
(800) 298-8170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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