Female

Marissa J. Wells M.A.

Marriage & Family Therapist in Charlotte, NC(View on Map)

Full Name

Marissa Jenai Wells M.A.

NPI Number

1265861819

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/04/2013

Specialties

(Taxonomies)

Code

106H00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

1696

Contact
Information

Purpose

Mailing
Location

Address

10720 CARMEL COMMONS BLVD
10720 CARMEL COMMONS BLVD

City

Charlotte
Charlotte

State

NC
NC

Postal Code

28226-3785
28226-3785

Country

US
US

Telephone Number

(704) 916-9192
(704) 916-9192

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/01/2015

Provider Address

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