Individual
MRS. CAROL BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4003 80TH ST, SUITE 101, KENOSHA, WI 53142-4995
(262) 484-5095
(262) 484-5071
Mailing address
4003 80TH ST, SUITE 101, KENOSHA, WI 53142-4995
(262) 484-5095
(262) 484-5071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2246
WI
101YM0800X
Mental Health Counselor
1021-125
WI
101YP2500X
Professional Counselor
Primary
1021-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39647100
—
WI
Enumeration date
10/17/2006
Last updated
08/15/2012
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