MEDICARE: ROXANNE MARIE DEBELL MED, LPCC, NCC

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	101YM0800X	Mental Health Counselor	1091	CA

General Provider Information

NPI Number	:	1912261942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNE MARIE DEBELL MED, LPCC, NCC

Provider Business Mailing Address
First Line	:	13314 ALPINE DR
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-5718
Country	:	US
Telephone Number	:	619-972-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	4995 MURPHY CANYON RD STE 204
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4365
Country	:	US
Telephone Number	:	619-276-8112
Fax Number	:

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

Provider Enumeration Date	:	06/25/2012
Last Update Date	:	03/08/2019

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