Most Relevant Information
Provider Data
| NPI Number: | 1003001504 |
| Provider Name: | SHIRLEY ANN WELLS M.ED., LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2002013515 |
Most Important Dates
| Enumeration Date: | 09/08/2007 |
| Last Updated: | 09/21/2009 |
Provider Practice Location
3309 S. KINGSHIGHWAY BLVD
FAMILY RESOURCE CENTER
SAINT LOUIS
MO
63139
Practice Location Phone/Fax
| Phone: | 3145341204 |
| Fax: |
Provider Mailing Location
7511 WARWICK DR
SAINT LOUIS
MO
631212436
Provider Mailing Phone/Fax
| Phone: | 3143827997 |
| Fax: | 3143827997 |