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NPI Code Detail

MEDICARE: RENEE WELLS LPC

MEDICARE: RENEE WELLS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401007339MI

General Provider Information

NPI Number : 1427488691
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE WELLS LPC
Provider Business Mailing Address
First Line : 221 AMES ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-6760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 989-407-0963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2013
Last Update Date : 08/09/2024

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Directions to “ RENEE WELLS LPC” Practice Location

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