Most Relevant Information
Provider Data
| NPI Number: | 1003372368 |
| Provider Name: | CHELSEA KAE WELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 6301016657 |
Most Important Dates
| Enumeration Date: | 02/12/2019 |
| Last Updated: | 02/12/2019 |
Provider Practice Location
6692 SPRING ARBOR RD
JACKSON
MI
492019322
Practice Location Phone/Fax
| Phone: | 5177503869 |
| Fax: |
Provider Mailing Location
577 NORVELL BEACH DR
BROOKLYN
MI
492309528
Provider Mailing Phone/Fax
| Phone: | 7347765500 |
| Fax: |