Provider Demographics
NPI:1326762261
Name:ROCHETTE, MICHAEL MARTIN BESSETTE (LMFT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:MARTIN BESSETTE
Last Name:ROCHETTE
Suffix:
Gender:M
Credentials:LMFT
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 25
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94516-0025
Mailing Address - Country:US
Mailing Address - Phone:925-377-0301
Mailing Address - Fax:
Practice Address - Street 1:370 REDWOOD HIGHWAY
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:CA
Practice Address - Zip Code:94516
Practice Address - Country:US
Practice Address - Phone:925-377-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134912106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist