Doctor Name: | MS. BRENDA ARLENE WELLES |
NPI Number: | 1114065661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC00435500 |
Business Practice Address: | 135 Columbia Tpke Suite 303 Florham Park, NJ - 079322104 |
Business Phone Number: | 9735141820 |
Business Fax Number: | |
Mailing Address: | 26 Goldfinch Dr, HACKETTSTOWN |
State: | NJ |
Postal Code: | 078403008 |
Phone Number: | 9088508068 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00435500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |