Provider Demographics
NPI:1821863903
Name:HAWTHORNE, ROCHELLE LYNN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:LYNN
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 ROWENA CURV
Mailing Address - Street 2:
Mailing Address - City:ELKO NEW MARKET
Mailing Address - State:MN
Mailing Address - Zip Code:55054-4710
Mailing Address - Country:US
Mailing Address - Phone:763-344-3341
Mailing Address - Fax:
Practice Address - Street 1:7835 3RD ST N STE 207
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-5445
Practice Address - Country:US
Practice Address - Phone:763-344-3341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional