Christina L Bellers, RASAC II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kennett, MO
NPI 1760634232 · NPPES record last updated Jul 27, 2011
Key facts
- NPI
- 1760634232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 5087 (MO)
- Practice address
- 1109 Jones St
Kennett, MO 63857-3824 - Phone
- (573) 888-6545
- Fax
- (573) 888-2369
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5087 | MO | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5087 | MO | Yes |
Addresses
Primary practice location
1109 Jones St
Kennett, MO 63857-3824
Mailing address
1109 Jones St
Kennett, MO 63857-3824
Phone (573) 888-6545
Other providers in Kennett, MO
- Tracey Beaver
- Berley Beck
- Jeffrey Tyler Beck
- Melinda Gaye Becknell
- Erin Jon Bedwell
- Evy Jo Benjamin
- Devante S Bennett
- Donna Marie Bennett
- Beverly Ann Berry
- Angela Marie Bevill
All providers in Kennett, MO · Addiction (Substance Use Disorder) Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.