| Doctor Name: | REX BUNNELL |
| NPI Number: | 1326438698 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MLADC |
| License Number: | 0873 |
| Business Practice Address: | 379 Pleasant Valley Rd Wolfeboro, NH - 038944437 |
| Business Phone Number: | 6033879693 |
| Business Fax Number: | |
| Mailing Address: | Po Box 645, WOLFEBORO FALLS |
| State: | NH |
| Postal Code: | 038960645 |
| Phone Number: | 6033879693 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2015 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |