Organization
WELLSPRING COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL WILSON LISW-S (CLINICAL SOCIAL WORKER)
(419) 704-2938
Entity
Organization
Contact information
Practice address
4041 W SYLVANIA AVE, SUITE LL2, TOLEDO, OH 43623-4465
(419) 704-2938
Mailing address
4041 W SYLVANIA AVE, SUITE LL2, TOLEDO, OH 43623-4465
(419) 704-2938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I.0800109-SUPV
OH
Other
Enumeration date
01/29/2010
Last updated
07/27/2010
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