Individual
MRS. VICKI LYNNE WELLS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
120 PONDEROSA DR, STE D, CHRISTIANSBURG, VA 24073
(540) 382-1494
(540) 382-3039
Mailing address
120 PONDEROSA DR, STE D, CHRISTIANSBURG, VA 24073
(540) 382-1494
(540) 382-3039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003566
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142924
ANTHEM
VA
01
—
521541
VALUE OPTIONS
VA
Enumeration date
05/05/2006
Last updated
07/08/2007
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