Individual
MR. WESLEY WILLIAM LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
PO BOX 16487, SAN LUIS, AZ 85349-7002
(484) 330-1837
Mailing address
PO BOX 16487, SAN LUIS, AZ 85349-7002
(484) 330-1837
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12159
AZ
Other
Enumeration date
10/11/2006
Last updated
09/12/2024
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