Individual
STEPHEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12553 W EXPLORER DR STE 190, BOISE, ID 83713-1612
(208) 608-9485
(208) 608-9485
Mailing address
12553 W EXPLORER DR STE 190, BOISE, ID 83713-1612
(208) 376-7083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8861536
ID
1041C0700X
Clinical Social Worker
Primary
8861536
ID
Other
Enumeration date
02/10/2021
Last updated
03/04/2026
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