Individual
ANNTELLA LYN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSHSM
Contact information
Practice address
1634 GALENA ST, AURORA, CO 80010-2221
(720) 338-5973
Mailing address
1634 GALENA ST, AURORA, CO 80010-2221
(720) 338-5973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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