Douglas Roy Wells, LCSW
Counselor in Lewiston, ID. Individual provider (NPI-1).
NPI number1255465639
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255465639
- Entity type
- Individual (NPI-1)
- Name
- Mr. Douglas Roy Wells
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CSW511 | ID | Yes |
Practice location
307 19th St Ste A3Lewiston, ID 83501-2086
Phone 208-746-2948
Mailing address
730 Warner Ave # BLewiston, ID 83501-4916
Phone 208-746-2948
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All 9 Counselor providers in Lewiston · All 1,076 providers in Lewiston
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