Individual
KEISHA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1501 13TH ST, SUITE N, COLUMBUS, GA 31901-2383
(762) 822-7856
Mailing address
1501 13TH ST, SUITE N, COLUMBUS, GA 31901-2383
(762) 822-7856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007982
GA
Other
Enumeration date
12/20/2014
Last updated
06/15/2015
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