Individual
MATTHEW WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHCA, NCC
Contact information
Practice address
257 INDIANA AVE STE D6, VALPARAISO, IN 46383-6180
(219) 299-0589
Mailing address
206 MORGAN BLVD, VALPARAISO, IN 46383-4852
(317) 902-4684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000473A
IN
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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