Individual
LEIGH WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, NCC
Contact information
Practice address
8212 ITHACA AVE, SUITE E-7, OFFICE F, LUBBOCK, TX 79423-2632
(806) 786-6052
Mailing address
PO BOX 65262, LUBBOCK, TX 79464-5262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65679
TX
101YP2500X
Professional Counselor
65679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287873801
—
TX
Enumeration date
11/06/2011
Last updated
09/20/2012
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