Individual
CHAUNTA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 346-7832
Mailing address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 346-7832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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