Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | C000838 | NC |
NPI | 1003887167 |
---|---|
Provider Name | Ms. Tammy L. Bell |
First Address | Charlotte, NC 28269-7193 |
Second Address | Charlotte, NC 28203-5783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 08/07/2007 |