Individual
REBECCA LYNN BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
627 SMITHVIEW DRIVE, MARYVILLE, TN 37803
(865) 380-4390
(865) 380-4396
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-8182
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC1622
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5441749
TENNCARE
TN
Enumeration date
07/12/2005
Last updated
08/17/2007
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