Provider Demographics
NPI:1003979022
Name:BELL, BRENDAN CHRISTOPHER (MA LCPC)
Entity Type:Individual
Prefix:
First Name:BRENDAN
Middle Name:CHRISTOPHER
Last Name:BELL
Suffix:
Gender:M
Credentials:MA LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 N PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-558-5578
Mailing Address - Fax:630-558-5578
Practice Address - Street 1:620 W ROOSEVELT RD
Practice Address - Street 2:SUITE D 1
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5086
Practice Address - Country:US
Practice Address - Phone:630-462-1999
Practice Address - Fax:630-462-0059
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional