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NPI Code Detail

MEDICARE: JONATHAN CHRISTIAN BELL LCSW, LCAS

MEDICARE: JONATHAN CHRISTIAN BELL LCSW, LCAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor27151NC
2104100000XSocial Worker

General Provider Information

NPI Number : 1093386492
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN CHRISTIAN BELL LCSW, LCAS
Provider Business Mailing Address
First Line : 1777 FORDHAM BLVD STE 204
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-5885
Country : US
Telephone Number : 919-213-0792
Fax Number :
Provider Business Practice Location Address
First Line : 1777 FORDHAM BLVD STE 204
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-5885
Country : US
Telephone Number : 919-213-0792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 11/29/2023

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