Doctor Name: | BRENDAN CHRISTOPHER BELL |
NPI Number: | 1003979022 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA LCPC |
License Number: | |
Business Practice Address: | 620 W Roosevelt Rd Suite D 1 Wheaton, IL - 601875086 |
Business Phone Number: | 6304621999 |
Business Fax Number: | 6304620059 |
Mailing Address: | 519 N President St, WHEATON |
State: | IL |
Postal Code: | 60187 |
Phone Number: | 6305585578 |
Fax Number: | 6305585578 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |