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Organization

RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Active
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Organization

RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Active
Parent organization
RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Other names
Kinship Counseling Collective
Organization subpart
Yes

Provider details

NPI number
Legal business name
RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Authorized official
RAQUEL WELLS LCSW (DIRECTOR)
(415) 535-8660
Entity
Organization

Contact information

Practice address
120 PLEASANT HILL AVE N STE 200Q, SEBASTOPOL, CA 95472-3167
(415) 294-0032
Mailing address
200 S MAIN ST # 100-535, SEBASTOPOL, CA 95472-4284
(707) 503-0569
(707) 261-1258

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
05/08/2023
Last updated
07/30/2025
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