Provider Demographics
NPI:1134370596
Name:BARBER, ROCHELLE MARIE (LADC, TRS)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:MARIE
Last Name:BARBER
Suffix:
Gender:F
Credentials:LADC, TRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1029
Mailing Address - Country:US
Mailing Address - Phone:612-594-2011
Mailing Address - Fax:612-594-2020
Practice Address - Street 1:510 S 8TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1029
Practice Address - Country:US
Practice Address - Phone:612-594-2011
Practice Address - Fax:612-594-2020
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302389101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)