Individual
STACEY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
7510 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 579-0738
Mailing address
7510 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 579-0738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61414828
WA
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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