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Individual

KELLY NICOLE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 COLONIAL AVE STE 12K, NORFOLK, VA 23517-1919
(757) 937-5780
Mailing address
1217 BASSWOOD CT, CHESAPEAKE, VA 23320-5102
(757) 692-1013

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/23/2025
Last updated
07/16/2025
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