MEDICARE: PATRICIA LISA BELL

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00005916	WA
2	101YM0800X	Mental Health Counselor	LH00010762	WA
3	106H00000X	Marriage & Family Therapist	LF00002412	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306083225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LISA BELL

Provider Business Mailing Address
First Line	:	83 WINDDANCER LN
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98363-8319
Country	:	US
Telephone Number	:	360-565-2631
Fax Number	:	360-457-4875

Provider Business Practice Location Address
First Line	:	1912 W 18TH ST
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98363-5121
Country	:	US
Telephone Number	:	360-565-2621
Fax Number	:	360-457-4875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	01/14/2009

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Directions to “ PATRICIA LISA BELL ” Practice Location

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