Individual
MR. JEREMY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
29623 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1076
(313) 932-5527
Mailing address
19708 LEXINGTON, REDFORD, MI 48240-1517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019485
MI
Other
Enumeration date
12/11/2017
Last updated
04/25/2025
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