Individual
KELSIE MARIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
212 FAITH DR, JEFFERSON, OR 97352-9001
(541) 999-5289
Mailing address
212 FAITH DR, JEFFERSON, OR 97352-9001
(541) 999-5289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
03/22/2022
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