Juanita Wells

NPI #1700323102 in San Clemente, California

Provider Information

NPI Number: 1700323102
Entity Type: Individual
Name: Juanita Wells
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 23, 2017
Last Updated: Jan 23, 2017

Practice Location

Address: 423 AVENIDA GRANADA
Address 2: SUITE 18
City: San Clemente
State: California
ZIP Code: 92672-5287
Phone: (949) 357-9691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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