Individual
MRS. JENNIFER MARIE WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3405 PEERLESS RD NW, CLEVELAND, TN 37312-3431
(423) 650-7543
Mailing address
1225 VULCAN RD, RISING FAWN, GA 30738-2014
(423) 313-1231
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1949
TN
Other
Enumeration date
10/31/2022
Last updated
11/09/2022
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