Provider Demographics
NPI:1902945678
Name:WELCH, KAREN LEE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEE
Last Name:WELCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 CENTRAL ST.
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453
Mailing Address - Country:US
Mailing Address - Phone:781-891-0556
Mailing Address - Fax:781-647-1432
Practice Address - Street 1:118 CENTRAL ST.
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453
Practice Address - Country:US
Practice Address - Phone:781-891-0556
Practice Address - Fax:781-647-1432
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-09-30
Deactivation Date:2015-08-06
Deactivation Code:
Reactivation Date:2016-09-30
Provider Licenses
StateLicense IDTaxonomies
MA5357101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health