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NPI 1457058315

NPI 1457058315 : KRISTIE BELL AMFT : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1457058315
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIE BELL AMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2023
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    Last Update Date     |    02/10/2023
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Provider Practice Location Address
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    Address Line         |    1212 N VERMONT AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90029-1769
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    Country              |    US
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    Telephone            |    323-443-3225
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    933 E MARIPOSA ST 
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    City                 |    ALTADENA
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    State                |    CA
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    Zip                  |    91001-2017
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    Country              |    US
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    Telephone            |    626-264-3185
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    126784
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    License Number State |    CA
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