Individual
KEVIN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CRAADC
Contact information
Practice address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 535-5600
Mailing address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 535-5600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3148
MO
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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