Individual
MRS. STEPHANIE D WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
4306 ORANGE DRIVE NW, ACWORTH, GA 30101-6371
(901) 606-6344
Mailing address
2997 OWENS MEADOW DR NW, KENNESAW, GA 30152-2558
(678) 223-4187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1365
GA
Other
Enumeration date
06/28/2019
Last updated
11/04/2021
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