| Wells Counseling, Pllc | |
|
123 E Lake St Bloomingdale IL 60108-1177 | |
| (224) 255-5150 | |
| Not Available |
| Full Name | Wells Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 123 E Lake St, Bloomingdale, Illinois |
| Authorized Official Name and Position | Kristen Natasha Smith (OWNER) |
| Authorized Official Contact | 2242555150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Counseling, Pllc 123 E Lake St Ste 203 Bloomingdale IL 60108-1100 Ph: (224) 255-5150 | Wells Counseling, Pllc 123 E Lake St Bloomingdale IL 60108-1177 Ph: (224) 255-5150 |
| NPI Number | 1457028672 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457028672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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