Provider Demographics
NPI:1558631051
Name:BELL, DINAHFINELLA BERNADINE
Entity Type:Individual
Prefix:MRS
First Name:DINAHFINELLA
Middle Name:BERNADINE
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:D.
Other - Middle Name:B(BERNIE)
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2502 TACOMA AVE S
Mailing Address - Street 2:P.O. BOX 5305
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-1310
Mailing Address - Country:US
Mailing Address - Phone:253-759-0852
Mailing Address - Fax:253-752-0514
Practice Address - Street 1:2502 TACOMA AVE S
Practice Address - Street 2:2502 TACOMA AVE S
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-1310
Practice Address - Country:US
Practice Address - Phone:253-759-0852
Practice Address - Fax:253-752-0514
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-31
Last Update Date:2011-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60149309101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor