Individual
BELLA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAC
Contact information
Practice address
2642 NW 33RD ST APT 1902, OAKLAND PARK, FL 33309-6480
(954) 294-4040
Mailing address
2642 NW 33RD ST APT 1902, OAKLAND PARK, FL 33309-6480
(954) 294-4040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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