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Juan Wells

Counselor, Mental Health in Vicksburg, MS. Individual provider (NPI-1).

NPI number1255596151
StatusActive
Last updated in NPPESJul 21, 2008

Details

NPI
1255596151
Entity type
Individual (NPI-1)
Name
Juan Wells
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2008
Last updated
Jul 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Phone 601-638-0031

Mailing address

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

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