Provider Demographics
NPI:1215369814
Name:BELL, VANESSA (CADC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 STURBRIDGE DR E
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5143
Mailing Address - Country:US
Mailing Address - Phone:732-878-2850
Mailing Address - Fax:732-878-2851
Practice Address - Street 1:26 STURBRIDGE DR E
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5143
Practice Address - Country:US
Practice Address - Phone:732-878-2850
Practice Address - Fax:732-878-2851
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37CA00061700101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)