Individual
CORY BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2535 E SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 76092-6629
(817) 381-0485
Mailing address
2535 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6628
(817) 381-0485
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
77849
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
14558
TX
101YM0800X
Mental Health Counselor
77849
TX
Other
Enumeration date
02/24/2020
Last updated
02/26/2022
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