Provider Demographics
NPI:1336207273
Name:HURBACE-CONGABLE, BELLAMARIE (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:BELLAMARIE
Middle Name:
Last Name:HURBACE-CONGABLE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:BELLAMARIE
Other - Middle Name:
Other - Last Name:HURBACE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:206 APACHE CIR
Mailing Address - Street 2:PO BOX 6017
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-3976
Mailing Address - Country:US
Mailing Address - Phone:530-589-5240
Mailing Address - Fax:530-538-7949
Practice Address - Street 1:206 APACHE CIR
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-3976
Practice Address - Country:US
Practice Address - Phone:530-589-5240
Practice Address - Fax:530-538-7949
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist