KENNETH STEPHEN WELLS

TACOMA, WA
NPI1053176172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60415317)
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
KENNETH STEPHEN WELLS
1712 6TH AVE
TACOMA, WA 98405-3300
Phone number: 253-473-7586
Mailing Address
KENNETH STEPHEN WELLS
1712 6TH AVE
TACOMA, WA 98405-3300
Phone number: 253-473-7586
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