Tracie Wells, LPC

NPI #1295079622 in Malvern, Arkansas

Provider Information

NPI Number: 1295079622
Entity Type: Individual
Name: Tracie Wells, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Nov 26, 2012
Last Updated: Jun 18, 2018

Practice Location

Address: 1615 MARTIN LUTHER KING BLVD
City: Malvern
State: Arkansas
ZIP Code: 72104
Phone: (501) 624-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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