Individual
KENNETH STEPHEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1712 6TH AVE, TACOMA, WA 98405-3300
(253) 473-7586
Mailing address
1712 6TH AVE, TACOMA, WA 98405-3300
(253) 473-7586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60415317
WA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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