Individual
STEPHENIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R, QMHA-R, CRM
Contact information
Practice address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 791-7193
Mailing address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 791-7193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-3309
OR
101YM0800X
Mental Health Counselor
25-QMHA-R6466
OR
175T00000X
Peer Specialist
25-CRM-4771
OR
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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