Provider Demographics
NPI:1205089901
Name:BELL-BURTON, TRESSA MARIE (MA, LCPC, LPC)
Entity type:Individual
Prefix:MS
First Name:TRESSA
Middle Name:MARIE
Last Name:BELL-BURTON
Suffix:
Gender:F
Credentials:MA, LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14508 ELM ST
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3007
Mailing Address - Country:US
Mailing Address - Phone:240-281-8349
Mailing Address - Fax:301-627-1564
Practice Address - Street 1:720 N SAINT ASAPH ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1912
Practice Address - Country:US
Practice Address - Phone:703-746-3444
Practice Address - Fax:703-746-3464
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2816101YP2500X
VA0701004691101YP2500X
DCPRC1203101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1205089901Medicaid
VA004945026Medicaid