Healthcare Provider Details

I. General information

NPI: 1720844335
Provider Name (Legal Business Name): PAULA KRISTINE BOUCHER BELL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 LOS OSOS VALLEY RD STE E
LOS OSOS CA
93402-3248
US

IV. Provider business mailing address

893 MARSH ST UNIT 1855
SAN LUIS OBISPO CA
93406-7086
US

V. Phone/Fax

Practice location:
  • Phone: 805-316-0440
  • Fax:
Mailing address:
  • Phone: 949-573-7385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT161021
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: