Provider Demographics
NPI:1447599188
Name:MINNIER-WELLS, CHERYL MAE (LPC)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:MAE
Last Name:MINNIER-WELLS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-8846
Mailing Address - Country:US
Mailing Address - Phone:928-707-0761
Mailing Address - Fax:970-507-6001
Practice Address - Street 1:468 PAGOSA ST.
Practice Address - Street 2:
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147
Practice Address - Country:US
Practice Address - Phone:928-707-0761
Practice Address - Fax:970-507-6001
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0018638101YM0800X
AZLPC-2543101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional