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Individual

JENNIFER CHARLOTTE WELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1161
MS
101YP2500X
Professional Counselor
Primary
3031
LA

Other

Enumeration date
10/06/2006
Last updated
08/04/2023
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