Individual
ANDREA J WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
740 FRONT ST STE 340, SANTA CRUZ, CA 95060-4561
(831) 425-3369
Mailing address
PO BOX 365, SANTA CRUZ, CA 95061-0365
(831) 425-3369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT 33997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942372123
BHCI GROUP PROVIDER #
CA
Enumeration date
06/08/2007
Last updated
07/08/2007
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