| NPI | 1770753915 |
|---|---|
| Other Name | GERALD J WELLENS PHD |
| Entity Type | Organization |
| Authorized Contact | MOLLY ROSE CREVIER Office Admin 920-432-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |