Doctor Name: | REBECCA LYNN BUNCH |
NPI Number: | 1891793014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC1622 |
Business Practice Address: | 627 Smithview Drive Maryville, TN - 37803 |
Business Phone Number: | 8653804390 |
Business Fax Number: | 8653804396 |
Mailing Address: | Department 888182, KNOXVILLE |
State: | TN |
Postal Code: | 379958182 |
Phone Number: | 8003553565 |
Fax Number: | 4237142355 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 08/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC1622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |