Individual
JACQUEITA BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, CM
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
—
WA
372600000X
Adult Companion
—
WA
Other
Enumeration date
12/11/2024
Last updated
12/24/2024
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