Provider Demographics
NPI:1922859966
Name:BUNN, ROCHELLE NICOLE
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:NICOLE
Last Name:BUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9901 A ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-2414
Mailing Address - Country:US
Mailing Address - Phone:510-331-2065
Mailing Address - Fax:
Practice Address - Street 1:1866 B ST STE 101
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3184
Practice Address - Country:US
Practice Address - Phone:510-247-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool