Individual
DR. KRISTEN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2119 W MAIN ST, RICHMOND, VA 23220-4527
(800) 961-1726
(804) 510-0309
Mailing address
PO BOX 12031, RICHMOND, VA 23241-0031
(800) 961-1726
(804) 510-0309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003917
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010265363
—
VA
Enumeration date
08/10/2006
Last updated
07/21/2022
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