Individual ProviderJason Charles WellsCounselorBehavioral Health & Social Service ProvidersPractice Address252 Main St, Florence, KY 41042-2029(859) 462-6540PECOS EnrollmentBased on the most recent information from CMS, provider Jason Charles Wells does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1376847947Provider TypeIndividualFull NameWells, Jason CharlesTitleMr.CredentialLPCCGenderMaleSole ProprietorYesEnumeration Date12/22/2010Last Updated12/22/2010Contact InformationPractice LocationPractice Address252 Main St, Florence, KY 41042-2029Phone(859) 462-6540FaxUnlisted FaxMailing LocationMailing Address10623 Pepperwood Dr, Independence, KY 41051-8574Phone(859) 462-6540FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1251Kentucky