Individual
MRS. COURTNEY DAWN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LPC
Contact information
Practice address
802 N MINTER AVE, THROCKMORTON, TX 76483-5357
(948) 849-2151
Mailing address
PO BOX 401, THROCKMORTON, TX 76483-0401
(210) 416-4919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65806
TX
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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