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NPI Code Detail

MEDICARE: KRISTIE BELL AMFT

MEDICARE: KRISTIE BELL AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor126784CA

General Provider Information

NPI Number : 1457058315
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE BELL AMFT
Provider Business Mailing Address
First Line : 933 E MARIPOSA ST
Second Line :
City : ALTADENA
State : CA
Zip : 91001-2017
Country : US
Telephone Number : 626-264-3185
Fax Number :
Provider Business Practice Location Address
First Line : 1212 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1769
Country : US
Telephone Number : 323-443-3225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2023
Last Update Date : 02/10/2023

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