Most Relevant Information
Provider Data
| NPI Number: | 1003575424 |
| Provider Name: | ANTHWAN JOVAN BELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 12649 |
Most Important Dates
| Enumeration Date: | 12/13/2021 |
| Last Updated: | 12/13/2021 |
Provider Practice Location
710 N ANAHEIM BLVD
ANAHEIM
CA
928052651
Practice Location Phone/Fax
| Phone: | 7147767490 |
| Fax: |
Provider Mailing Location
710 N ANAHEIM BLVD
ANAHEIM
CA
928052651
Provider Mailing Phone/Fax
| Phone: | 7147767490 |
| Fax: |