THERON WELLS MD - NPI 1730232075 - Counselor in Corona, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Theron Wells Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERON WELLS MD (NPI 1730232075) is a healthcare organization registered as a mental health in Corona, California and active in the NPI registry since January 2007. The organization lists Theron Charles Wells, Owner-md, as its authorized official.

NPPES Registry Identity

NPI1730232075

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameTHERON WELLS MD INCORPORATED

Location Address730 MAGNOLIA AVECorona, CA 92879-3117

Mailing AddressPo Box 2377Corona, CA 92878-2377 · (951) 371-9391 · Fax (951) 346-9040

Phone(951) 371-9391

Fax(951) 346-9040

Organization SubpartNo

Authorized OfficialTheron Charles WellsOwner-md · (951) 371-9391

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 11, 2007

✔ NPI 1730232075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · G69274

730 MAGNOLIA AVE, Corona, CA 92879

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Other Names 1

Other NameTheron Wells Md

Other Identifiers 1

Medicare UPINF57132CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP