Individual
PAUL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
3800 FREDERICK AVE, BALTIMORE, MD 21229-3618
(410) 233-1400
Mailing address
9701 KEYSVILLE RD, EMMITSBURG, MD 21727-8619
(410) 233-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA015
MD
Other
Enumeration date
11/15/2016
Last updated
06/20/2018
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