Individual
MS. CAROL P WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
206 S BEVERLY AVE, TAMPA, FL 33609-2920
(813) 404-0919
Mailing address
206 S BEVERLY AVE, TAMPA, FL 33609-2920
(813) 404-0919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4326
FL
Other
Enumeration date
07/25/2006
Last updated
02/13/2012
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