Mrs Katelyn Jeane Wells, MS, LPCC | |
121 Downey Ave, Modesto, CA 95354-1208 | |
(209) 341-1824 | |
Not Available |
Full Name | Mrs Katelyn Jeane Wells |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 121 Downey Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730669235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | APCC5175 (California) | Secondary |
101YP2500X | Counselor - Professional | LPCC9531 (California) | Primary |
Entity Name | Telecare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katelyn Jeane Wells, MS, LPCC 430 N Pilgrim St, Stockton, CA 95205-4428 Ph: (209) 466-0853 | Mrs Katelyn Jeane Wells, MS, LPCC 121 Downey Ave, Modesto, CA 95354-1208 Ph: (209) 341-1824 |
Amber Nicole Allred, IMF Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 K St, Modesto, CA 95354 Phone: 209-550-5869 | |
Virginia A. Horton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Coffee Road, Suite H-4, Modesto, CA 95355 Phone: 209-613-4255 Fax: 209-567-1015 | |
Daniel Eric Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 I St, Modesto, CA 95354 Phone: 209-552-2890 | |
Natalie Rahe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Coffee Rd, Modesto, CA 95355 Phone: 209-554-6808 | |
Crystal A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Downey Ave, Modesto, CA 95354 Phone: 209-341-1824 | |
Nereida Lomeli, MFT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Tully Rd, Ste F, Modesto, CA 95350 Phone: 209-576-1750 Fax: 209-576-1768 | |
Cynthia Marie Mccleary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Cummins Dr, Modesto, CA 95358 Phone: 209-622-1420 |