Individual
ALISHA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5100 S MACADAM AVE STE 350, PORTLAND, OR 97239-3877
(503) 231-7854
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11987
OR
Other
Enumeration date
11/05/2019
Last updated
11/19/2024
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