Individual
JOHN W WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 RIVERVIEW DR STE 102, BENTON HARBOR, MI 49022-5065
(269) 759-8750
Mailing address
2630 HARMONY PATH, SAINT JOSEPH, MI 49085-8298
(269) 759-8750
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012511
MI
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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