Provider Demographics
NPI:1528249323
Name:WELCHER, GREGORY W (LLPC, LBSW)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:W
Last Name:WELCHER
Suffix:
Gender:M
Credentials:LLPC, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6159
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49204-6159
Mailing Address - Country:US
Mailing Address - Phone:517-437-0117
Mailing Address - Fax:517-437-0033
Practice Address - Street 1:101 SPRING ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1160
Practice Address - Country:US
Practice Address - Phone:517-437-0117
Practice Address - Fax:517-437-0033
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional