Individual provider · Type 1 NPI

Juan Wells

Mental Health Counselor · Vicksburg, MS

NPI number 1255596151 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255596151

Juan Wells's National Provider Identifier is 1255596151, issued on Jul 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Jul 21, 2008.