PAUL ALLEN WELK

KELSO, WA
NPI1780054197
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00005342)
Enumeration Date2015-09-28
Last Update Date2015-09-28
Business Address
Mr. PAUL ALLEN WELK AS,CDP
309 OAK ST
KELSO, WA 98626-2340
Phone number: 360-577-7442
Mailing Address
Mr. PAUL ALLEN WELK AS,CDP
309 OAK ST
KELSO, WA 98626-2340
Phone number: 360-577-7442