Individual
DESTINEE NICOLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 RIDGE AVE STE LL15A, EVANSTON, IL 60201-5919
(312) 877-9411
Mailing address
1740 RIDGE AVE STE LL15A, EVANSTON, IL 60201-5919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/15/2025
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