Individual
BRENDA JEAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Mailing address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ACSW78220
CA
1041C0700X
Clinical Social Worker
Primary
99990
CA
171M00000X
Case Manager/Care Coordinator
99990
CA
Other
Enumeration date
08/18/2015
Last updated
06/13/2024
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