Individual
MS. DENISE RAE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCA, ATR
Contact information
Practice address
1552 UNION RD, SUITE E, GASTONIA, NC 28054-5523
(704) 833-0154
(704) 833-7076
Mailing address
360 N MAIN ST, APT. B, MOUNT HOLLY, NC 28120-2282
(704) 915-8935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12116
NC
101YM0800X
Mental Health Counselor
A12116
NC
251G00000X
Community Based Hospice Care Agency
A12116
NC
251S00000X
Community/Behavioral Health Agency
A12116
NC
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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