Individual
DAWANNA DENISE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-6562
Mailing address
2259 MAIN ST, FAIRFAX, VT 05454-9754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000743
VT
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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