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General NPI Number Information
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NPI Number | 1093342693
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Entity Type | Organization
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Legal Business Name | ANISSA BELL MARRIAGE & FAMILY THERAPY, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 12526 HIGH BLUFF DR STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92130-2067
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Country | US
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Telephone | 858-400-4646
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Fax | 858-480-7234
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Provider Business Mailing Address
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Address Line | 12526 HIGH BLUFF DR STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92130-2067
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Country | US
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Telephone | 858-400-4646
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Fax | 858-480-7234
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Authorized Official
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Title or Position | CEO
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Name | ANISSA BELL
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Credential | LMFT
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Telephone | 858-400-4646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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