Individual
CONNIE AMANDA SMITH-WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
425 2ND AVE SW STE 102, ALBANY, OR 97321-2483
(541) 286-3209
Mailing address
3973 CENTURY DR, EUGENE, OR 97402-8237
(702) 326-6757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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