Individual
KEVIN L WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3662 SUMMER GLEN DR, MEMPHIS, TN 38135-2370
(901) 300-0634
Mailing address
3662 SUMMER GLEN DR, MEMPHIS, TN 38135-2370
(901) 494-8104
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1549
TN
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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