Individual
NICOLE RENEE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 NW 120TH TER, OKLAHOMA CITY, OK 73114-7207
(405) 503-5066
Mailing address
805 NW 120TH TER, OKLAHOMA CITY, OK 73114-7207
(405) 503-5066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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