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NPI Code Detail

MEDICARE: MRS. STEPHANIE RAE WELLS M.S., LPCC-S

MEDICARE:  MRS. STEPHANIE RAE WELLS  M.S., LPCC-S
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 CounselorE.0006283-SUPVOH

General Provider Information

NPI Number : 1073723094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE RAE WELLS M.S., LPCC-S
Provider Business Mailing Address
First Line : 3040 RIVERSIDE DR STE 120
Second Line :
City : UPPER ARLINGTON
State : OH
Zip : 43221-2550
Country : US
Telephone Number : 614-329-8862
Fax Number :
Provider Business Practice Location Address
First Line : 3040 RIVERSIDE DR
Second Line :
City : UPPER ARLINGTON
State : OH
Zip : 43221-2551
Country : US
Telephone Number : 614-329-8862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 08/28/2025

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Directions to “ MRS. STEPHANIE RAE WELLS M.S., LPCC-S” Practice Location

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