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Individual

MRS. KATELYN JEANE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPCC

Contact information

Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
430 N PILGRIM ST, STOCKTON, CA 95205-4428
(209) 466-0853

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC5175
CA
101YP2500X
Professional Counselor
Primary
LPCC9531
CA

Other

Enumeration date
08/15/2018
Last updated
01/05/2023
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