Individual
MR. KENNETH P WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1589 STEEPLE DR, SUFFOLK, VA 23433-1615
(757) 371-9042
(757) 238-7765
Mailing address
1589 STEEPLE DR, SUFFOLK, VA 23433-1615
(757) 371-9042
(757) 238-7765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004310
VA
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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