Individual
PHYLLIS WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 DOTY RD, FERRIDAY, LA 71334-4053
(318) 437-7040
Mailing address
317 PONDEROSA RD, JONESVILLE, LA 71343-6260
(817) 521-2695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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