Most Relevant Information
Provider Data
NPI Number: | 1003394420 |
Provider Name: | VIRGINIA KAY WELLE MS, LPC-IT |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 4021-226 |
Most Important Dates
Enumeration Date: | 07/30/2018 |
Last Updated: | 07/30/2018 |
Provider Practice Location
509 E SOUTH AVE
CHIPPEWA FALLS
WI
547293402
Practice Location Phone/Fax
Phone: | 7158617762 |
Fax: |
Provider Mailing Location
22872 COUNTY HIGHWAY Q
NEW AUBURN
WI
547575414
Provider Mailing Phone/Fax
Phone: | 7159330800 |
Fax: |