Individual
PAIGE WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13045 FALCON DR STE 100, BAXTER, MN 56425-4201
(218) 829-9307
(218) 829-7649
Mailing address
520 NW 5TH ST, BRAINERD, MN 56401-2902
(218) 232-3564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC936
MN
Other
Enumeration date
02/10/2015
Last updated
10/16/2019
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