DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY COLLEEN WELLS

MEDICARE: KELLY COLLEEN WELLS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1538683743
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY COLLEEN WELLS
Provider Business Mailing Address
First Line : 3959 SUMNER LN
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-5563
Country : US
Telephone Number : 707-695-7801
Fax Number :
Provider Business Practice Location Address
First Line : 1500 PETALUMA BLVD S STE A
Second Line :
City : PETALUMA
State : CA
Zip : 94952-5546
Country : US
Telephone Number : 707-765-8488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2017
Last Update Date : 07/29/2017

Similar Medicare Providers

1326999764 — STEPHANIE MOYADO
Practice Location Address:
1500 PETALUMA BLVD S STE A
PETALUMA, CA
94952-5546
Practice Phone: 707-765-8488
Practice Fax:
1750426482 — MRS. SUSAN GILLEY ZALKASKE M.A.
Practice Location Address:
1500 PETALUMA BLVD S STE A
PETALUMA, CA
94952-5546
Practice Phone: 707-765-2464
Practice Fax: 707-765-8482
1023153731 — THOMAS ALAN ROBBE MFT
Practice Location Address:
1500 PETALUMA BLVD S STE A
PETALUMA, CA
94952-5546
Practice Phone: 707-765-8488
Practice Fax: 707-765-8482
1215413703 — KEVIN KRAGE VILJOEN
Practice Location Address:
1500 PETALUMA BLVD S STE A
PETALUMA, CA
94952-5546
Practice Phone: 707-765-8488
Practice Fax:
1851021653 — DEBORAH LEE RODMAN
Practice Location Address:
1500 PETALUMA BLVD S STE A
PETALUMA, CA
94952-5546
Practice Phone: 707-765-8488
Practice Fax: 707-765-8482
1962387795 — DANIELLE WELCH
Practice Location Address:
1500 PETALUMA BLVD S STE A
PETALUMA, CA
94952-5546
Practice Phone: 707-765-8488
Practice Fax:

Directions to “ KELLY COLLEEN WELLS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.