Individual
MR. JONATHAN MICHAEL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PLPC
Contact information
Practice address
13160 COUNTY RD 3610, ST. JAMES, MO 65559
(573) 265-3251
(573) 265-8363
Mailing address
PO BOX 189, SAINT JAMES, MO 65559-0189
(573) 265-3251
(573) 265-8363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2009000231
MO
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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