Healthcare Provider Details

I. General information

NPI: 1457635989
Provider Name (Legal Business Name): SHAWNA KATHLEEN BELL LMFT, LPCC, MAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2011
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 BAYSIDE RD SUITE C
ARCATA CA
95521-6497
US

IV. Provider business mailing address

381 BAYSIDE RD STE C
ARCATA CA
95521-7102
US

V. Phone/Fax

Practice location:
  • Phone: 707-496-2856
  • Fax:
Mailing address:
  • Phone: 707-496-2856
  • Fax: 707-237-2318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMAC
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 47122
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC300
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: