Provider Demographics
NPI:1053694430
Name:WELIKY, ALLISON DANIELLE (LPC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:DANIELLE
Last Name:WELIKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4785 WHITE ROCK CIRCLE
Mailing Address - Street 2:APT F
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5368
Mailing Address - Country:US
Mailing Address - Phone:303-718-4427
Mailing Address - Fax:
Practice Address - Street 1:5757 CENTRAL AVE
Practice Address - Street 2:SUITE #211
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2949
Practice Address - Country:US
Practice Address - Phone:303-718-4427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-6000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional