Individual
KELLY FORSTER WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
(412) 246-5588
Mailing address
605 DEWALT DR, PITTSBURGH, PA 15234-2429
(412) 246-5588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CW012668
PA
1041C0700X
Clinical Social Worker
Primary
CW012668
PA
283Q00000X
Psychiatric Hospital
CW012668
PA
Other
Enumeration date
06/24/2008
Last updated
03/29/2021
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