Individual
ENEIDRA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 FAITH AVE, BAKER, LA 70714-1504
(225) 936-6017
Mailing address
2020 FAITH AVE, BAKER, LA 70714-1504
(225) 936-6017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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