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Individual

RYAN DAVID WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
32 COLLEGE AVE, SUITE 206, WATERVILLE, ME 04901-6100
(207) 680-2065
(207) 680-2068
Mailing address
157 PARK ST., SUITE 5, BANGOR, ME 04401
(207) 992-0410
(207) 992-0414

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4517
ME
101YP2500X
Professional Counselor
XL4067
ME

Other

Enumeration date
01/02/2013
Last updated
07/29/2015
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