Individual
DEBORAH WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.C.P.C.
Contact information
Practice address
228 12TH AVE RD, NAMPA, ID 83686-5013
(208) 467-5009
(208) 467-3945
Mailing address
228 12TH AVE RD, NAMPA, ID 83686-5013
(208) 467-5009
(208) 467-3945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
27
ID
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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