Wells, Andrea J
Wells, Andrea J is an sole proprietor health care provider with primary practice located at 740 Front St Ste 340 , Santa Cruz CA 95060-4561. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wells, Andrea J can be contacted via phone (831) 425-3369.Contact Information
Primary practice address
740 Front St Ste 340
Santa Cruz CA 95060-4561
Phone: (831) 425-3369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFT 33997 | California |
Profile Details
| NPI number | 1487857066 |
|---|---|
| LBN Legal business name | Wells, Andrea J |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487857066 | NPPES |
| California | Other | 1942372123 | BHCI GROUP PROVIDER # |
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