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General NPI Number Information
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NPI Number | 1457937500
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Entity Type | Individual
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Provider Name | REGINALD JEROME BELL SR. CSAC, ADC-SUD, LPCIT
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Gender | Male
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 6815 W CAPITOL DR STE 117
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City | MILWAUKEE
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State | WI
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Zip | 53216-2056
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Country | US
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Telephone | 414-573-5799
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Fax |
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Provider Business Mailing Address
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Address Line | 8411 N SERVITE DR UNIT 101
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City | MILWAUKEE
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State | WI
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Zip | 53223-6201
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Country | US
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Telephone | 414-573-5799
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16681-132
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License Number State | WI
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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 | 3866-226
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License Number State | WI
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