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MR. RICHARD LEE WELLS

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1841493434

Individual Registrant:
MR. RICHARD LEE WELLS 
Gender: M
Sole Proprietor

Location and contact information for practice:
120 BROOKS ST APT 17  LICKING, MO 65542-8031 US
Tel: 573-889-9534  Fax: --

Contact information for business:
PO BOX 4449  WAYNESVILLE, MO 65583-4449 US
Tel: 573-889-9534  Fax: --

Registration Information:
NPI: 1841493434
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MO2002020616
N101YP1600XBehavioral Health & Social Service Providers
Counselor
N171R00000XOther Service Providers
Interpreter

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
498829100MO05




HEALTH CARE JOBS MO - Page 1



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