Individual
MR. KENDRICK JUAN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 FIRE TOWER RD UNIT B, WELCOME, MD 20693-3127
(240) 681-8774
Mailing address
6500 FIRE TOWER RD UNIT B, WELCOME, MD 20693-3127
(240) 681-8774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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