Individual
CHEYENNE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
725 WESSOR AVE, WILLARD, OH 44890-9417
(855) 632-1355
Mailing address
725 WESSOR AVE, WILLARD, OH 44890-9417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188756
OH
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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