Individual
JAMES D WELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
122 ELROSA RD, MOORESVILLE, NC 28115-5778
(704) 840-7005
(704) 360-2298
Mailing address
122 ELROSA RD, MOORESVILLE, NC 28115-5778
(704) 840-7005
(704) 360-2298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10150
NC
101YP2500X
Professional Counselor
Primary
10150
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285770818
—
NC
Enumeration date
01/30/2007
Last updated
10/04/2021
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