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NPI Code Detail

MEDICARE: JANE WELLS LPCC

MEDICARE: JANE WELLS LPCC
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 Counselor1323KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11323OTHERKYSTATE LICENSE

General Provider Information

NPI Number : 1770907073
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE WELLS LPCC
Provider Business Mailing Address
First Line : 1712 HIGHWAY 121 BYP N STE I
Second Line :
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Provider Business Practice Location Address
First Line : 1712 HIGHWAY 121 BYP N STE I
Second Line :
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2014
Last Update Date : 05/10/2017

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Directions to “ JANE WELLS LPCC” Practice Location

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