Doctor Name: | MR. JAMES D WELLS |
NPI Number: | 1285770818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 1142 |
Business Practice Address: | 16740 Davidson Concord Rd Suite 200 Davidson, NC - 280368746 |
Business Phone Number: | 7048019200 |
Business Fax Number: | 7048019201 |
Mailing Address: | Po Box 601372, CHARLOTTE |
State: | NC |
Postal Code: | 282601372 |
Phone Number: | 7048019200 |
Fax Number: | 7048019201 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |