Individual
ANDREW WARREN BUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2245 CHALLENGER WAY, SANTA ROSA, CA 95407-5418
(707) 565-4943
Mailing address
2245 CHALLENGER WAY, SANTA ROSA, CA 95407-5418
(707) 565-4943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18368
CA
Other
Enumeration date
11/27/2019
Last updated
12/03/2019
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