Individual
MS. GLORIA SHADELL WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1200 MURCHISON RD, FAYETTEVILLE, NC 28301-4252
(910) 672-2260
Mailing address
1506 VALIANT DR, FAYETTEVILLE, NC 28314-1861
(910) 286-0939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10080
NC
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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