Individual
DEBORA LYNN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1418A MACCORKLE AVENUE SW, CHARLESTON, WV 25303
(304) 348-1288
(304) 348-1262
Mailing address
PO BOX 4009, CHARLESTON, WV 25364-4009
(304) 348-1288
(304) 348-1262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
927
WV
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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