Provider Demographics
NPI:1619172319
Name:BELL, DEBORAH LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LEE
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 1ST ST
Mailing Address - Street 2:#115
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1357
Mailing Address - Country:US
Mailing Address - Phone:858-577-7046
Mailing Address - Fax:858-577-7006
Practice Address - Street 1:46141 MIRAMAR WAY
Practice Address - Street 2:SUITE 1, NAVCONBRIG MIRAMAR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92145-5401
Practice Address - Country:US
Practice Address - Phone:858-577-7046
Practice Address - Fax:858-577-7006
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9910461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical