Individual
JENNIFER JANE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., MA, MA, BA
Contact information
Practice address
492 E 13TH AVE, EUGENE, OR 97401-4268
(541) 520-6440
Mailing address
PO BOX 210, DEXTER, OR 97431-0210
(541) 520-6440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C6282
OR
Other
Enumeration date
05/01/2016
Last updated
08/24/2021
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