Individual
DIANE M WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6369 APACHE DR # 6369, LARKSPUR, CO 80118-9701
(303) 912-3717
Mailing address
6369 APACHE DR # 6369, LARKSPUR, CO 80118-9701
(303) 912-3717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0002277
CO
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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