Individual provider · Type 1 NPI

Samantha Wells

Counselor · Champaign, IL

NPI number 1366100562 Active

Practice location

701 Devonshire Dr Ste B16-18
Champaign, IL 61820-7337

Call (217) 531-2360 Map

Fax (217) 352-2635

Mailing address

1107 E Florida Ave Apt 23B
Urbana, IL 61801-6062

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1366100562

Samantha Wells's National Provider Identifier is 1366100562, issued on Dec 4, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Champaign, IL. The record was last updated on Dec 4, 2021.