Individual
MARISSA JENAI WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10720 CARMEL COMMONS BLVD, SUITE 320, CHARLOTTE, NC 28226-3785
(704) 916-9192
Mailing address
10720 CARMEL COMMONS BLVD, SUITE 320, CHARLOTTE, NC 28226-3785
(704) 916-9192
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1696
NC
Other
Enumeration date
11/04/2013
Last updated
09/01/2015
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