Individual
MATT WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4281
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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