Individual
JASON ALAN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2750 JACKSON ST, EUGENE, OR 97405-2263
(541) 868-4681
Mailing address
2750 JACKSON ST, EUGENE, OR 97405-2263
(541) 868-4681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/19/2010
Last updated
03/09/2011
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