Individual
JAMES CHARLES JEROME WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S,NCC,LPC-S,CSAT
Contact information
Practice address
2100 SOUTHBRIDGE PKWY, SUITE 650, BIRMINGHAM, AL 35209-1302
(205) 414-7426
(877) 308-8259
Mailing address
2100 SOUTHBRIDGE PKWY, SUITE 650, BIRMINGHAM, AL 35209-1302
(205) 414-7426
(877) 308-8259
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2948
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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