Individual
JULIE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1521 N LAKE PLACID AVE, EAGLE, ID 83616-5960
(949) 391-3505
Mailing address
1521 N LAKE PLACID AVE, EAGLE, ID 83616-5960
(949) 391-3505
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
79760
CA
Other
Enumeration date
05/03/2014
Last updated
12/22/2025
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