Individual
COREY JAMES WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 M ST, RIO LINDA, CA 95673-2218
(916) 287-4067
Mailing address
505 M ST, RIO LINDA, CA 95673-2218
(916) 287-4067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
04/18/2025
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