Doctor Name: | MRS. DANIELLE BOCCHINO |
NPI Number: | 1023293628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 005139 |
Business Practice Address: | 937 Nottingham Dr Macon, GA - 312111430 |
Business Phone Number: | 4783181050 |
Business Fax Number: | 8002154354 |
Mailing Address: | 937 Nottingham Dr, MACON |
State: | GA |
Postal Code: | 312111430 |
Phone Number: | 4783181050 |
Fax Number: | 8002154354 |
NPI Enumeration Date: | 01/02/2008 |
NPI Last Update Date: | 01/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 005139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |