Individual
AMIE DANIELLA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
315 WYCKOFF AVE STE 6, BROOKLYN, NY 11237-5842
(718) 497-6090
(718) 497-6262
Mailing address
72 CRISPUS ATTUCKS PL, BOSTON, MA 02119-1909
(617) 606-2387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P07740
NY
Other
Enumeration date
12/21/2010
Last updated
07/21/2022
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