Individual
KRISTIN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
(502) 634-0656
Mailing address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCCCA00223747
KY
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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