Provider Demographics
NPI:1801153960
Name:BELL, JENNIFER LEIGH (LPC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LEIGH
Last Name:BELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:4800 PLEASANT HILL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3406
Mailing Address - Country:US
Mailing Address - Phone:540-309-5795
Mailing Address - Fax:
Practice Address - Street 1:4800 PLEASANT HILL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3406
Practice Address - Country:US
Practice Address - Phone:540-309-5795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701005213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional