Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 4077462 | AZ |
NPI | 1215188750 |
---|---|
Provider Name | Katherine Irene Bell |
First Address | Flagstaff, AZ 86002-3754 |
Second Address | Flagstaff, AZ 86004-2039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |