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Individual
MR. MARK STEVEN WELLS
Active
Individual
MR. MARK STEVEN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CAADC, CCSOTS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
27452
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2467
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-02940
MI
1041C0700X
Clinical Social Worker
150.012251
IL
1041C0700X
Clinical Social Worker
Primary
6801097967
MI
1041C0700X
Clinical Social Worker
P007900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154648509
—
MI
Enumeration date
04/26/2010
Last updated
02/13/2023
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