Healthcare Provider Details

I. General information

NPI: 1962999466
Provider Name (Legal Business Name): STEFANIE ROWENA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2018
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3478 BUSKIRK AVE
PLEASANT HILL CA
94523-4344
US

IV. Provider business mailing address

6050 COLTON BLVD
OAKLAND CA
94611-2207
US

V. Phone/Fax

Practice location:
  • Phone: 925-209-4317
  • Fax:
Mailing address:
  • Phone: 510-761-4031
  • Fax: 510-761-4031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159004
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: