Individual
MR. JASON CHARLES WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
252 MAIN ST, FLORENCE, KY 41042-2029
(859) 462-6540
Mailing address
10623 PEPPERWOOD DR, INDEPENDENCE, KY 41051-8574
(859) 462-6540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1251
KY
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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