Provider Demographics
NPI:1861291965
Name:WELLS, CIARA KATHRYN (LMHC)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:KATHRYN
Last Name:WELLS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 REMSEN ST
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-3021
Mailing Address - Country:US
Mailing Address - Phone:518-605-1281
Mailing Address - Fax:
Practice Address - Street 1:7 ALVA DR
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-4703
Practice Address - Country:US
Practice Address - Phone:518-605-1281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health