Individual
JEFFREY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LBSW, CADC, QMHP
Contact information
Practice address
201 MULHOLLAND ST, BAY CITY, MI 48708-7693
(989) 497-1304
(989) 497-1321
Mailing address
221 AMES ST, BAY CITY, MI 48708-6760
(989) 450-4120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802080976
MI
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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