Individual
DAYRON L WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA, QMHS
Contact information
Practice address
35 E LIVINGSTON AVE, COLUMBUS, OH 43215-5762
(614) 371-9029
Mailing address
1295 E 19TH AVE, COLUMBUS, OH 43211-2501
(614) 286-9150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179388
OH
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
THE CHANGE AGENCY
OH
01
—
CDCA.179388
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
01/21/2022
Last updated
01/21/2022
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