Individual
ROOSEVELT BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
07/11/2017
Last updated
10/17/2023
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