Provider Demographics
NPI:1205343423
Name:MORROW, JANA REBECCA BELL (MA, LPCA, NCC)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:REBECCA BELL
Last Name:MORROW
Suffix:
Gender:F
Credentials:MA, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MCCULLOUGH DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4391
Mailing Address - Country:US
Mailing Address - Phone:704-902-4232
Mailing Address - Fax:
Practice Address - Street 1:416 MCCULLOUGH DR STE 150
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4391
Practice Address - Country:US
Practice Address - Phone:704-902-4232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health