Individual
LAWRENCE E WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
556 S ARIZONA BLVD, COOLIDGE, AZ 85128-5106
(520) 723-7405
(520) 723-7410
Mailing address
18280 N CALACERA ST, MARICOPA, AZ 85138-3879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17554
AZ
Other
Enumeration date
12/27/2018
Last updated
05/08/2019
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