Most Relevant Information
Provider Data
| NPI Number: | 1003374349 |
| Provider Name: | CARLY ANN WELCH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LAC-16025 |
Most Important Dates
| Enumeration Date: | 03/06/2019 |
| Last Updated: | 03/06/2019 |
Provider Practice Location
2120 S MCCLINTOCK DR STE 105
TEMPE
AZ
852822692
Practice Location Phone/Fax
| Phone: | 4808040326 |
| Fax: | 4808040083 |
Provider Mailing Location
1400 E SOUTHERN AVE STE 735
TEMPE
AZ
852825699
Provider Mailing Phone/Fax
| Phone: | 4808040326 |
| Fax: | 4808040083 |