WILLIAMETTA AUGUSTA WELLS

NEW BRIGHTON, MN
NPI1174166672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305143)
Enumeration Date2019-10-28
Last Update Date2019-11-04
Business Address
WILLIAMETTA AUGUSTA WELLS BS, LADC
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
Mailing Address
WILLIAMETTA AUGUSTA WELLS BS, LADC
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: