Individual
LISA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4176 SOUTH PAUL CIRCLE, BAY CITY, MI 48706-1344
(989) 684-6451
Mailing address
4176 S PAUL CIR, BAY CITY, MI 48706-2285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801070002
MI
Other
Enumeration date
10/13/2006
Last updated
05/16/2013
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