Individual
JENNIFER LEE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1425 RIDENOUR BLVD NW APT 8108, KENNESAW, GA 30152-4570
(678) 755-0062
Mailing address
1425 RIDENOUR BLVD NW APT 8108, KENNESAW, GA 30152-4570
(678) 755-0062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008961
GA
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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