Individual
JESSICA LYNNE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2011030011
MO
101YM0800X
Mental Health Counselor
Primary
—
MO
Other
Enumeration date
09/15/2011
Last updated
03/01/2021
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