Individual
MS. CHIQUITA LYNN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2814 S US HIGHWAY 1, SUITE D4, FORT PIERCE, FL 34982-8120
(904) 625-2307
Mailing address
2814 S US HIGHWAY 1, SUITE D4, FORT PIERCE, FL 34982-8120
(904) 625-2307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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