Individual
JOHNNY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
Mailing address
702 S 38TH ST APT 12, OMAHA, NE 68105-1142
(402) 525-3248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13163
NE
Other
Enumeration date
10/07/2022
Last updated
05/05/2025
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