Samantha Wells
Samantha Wells is a Counselor in Champaign, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
701 Devonshire Dr Ste B16-18Champaign, IL 61820-7337
Phone: (217) 531-2360
Fax: (217) 352-2635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1366100562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 4, 2021 |
| Last updated in NPPES | December 4, 2021 |
| Certification date | December 4, 2021 |
| Mailing address | 1107 E Florida Ave Apt 23b, Urbana, IL 61801-6062 |
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