Provider Demographics
NPI:1336274000
Name:BELL, JENNIE MAE (CADC II)
Entity Type:Individual
Prefix:MRS
First Name:JENNIE
Middle Name:MAE
Last Name:BELL
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3246
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93385-3246
Mailing Address - Country:US
Mailing Address - Phone:661-832-8504
Mailing Address - Fax:661-827-9432
Practice Address - Street 1:3316 LAVERNE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4082
Practice Address - Country:US
Practice Address - Phone:661-832-8504
Practice Address - Fax:661-827-9432
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)