Individual
DOMINIQUE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S CHURCH ST, WEST CHESTER, PA 19382-3386
(817) 584-0813
Mailing address
5536 WINDSOR AVE, PHILADELPHIA, PA 19143-4725
(267) 243-6809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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