Individual
MS. PRISCILLA ANN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LMFT
Contact information
Practice address
8150 E 13 MILE RD, SUITE 100, WARREN, MI 48093-8700
(586) 558-7472
Mailing address
17606 VERONICA AVE, EASTPOINTE, MI 48021-3122
(586) 778-0986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1041C0700X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
MI
Enumeration date
02/09/2007
Last updated
07/09/2007
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