Individual
MS. WADONNA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
221 2ND AVE NW, ARDMORE, OK 73401-6202
(580) 226-3252
(580) 226-3849
Mailing address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 490-6342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
596
OK
Other
Enumeration date
06/01/2009
Last updated
09/12/2014
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