Provider Demographics
NPI:1063210318
Name:MCKEON, ROCHELLE (LMFT)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:MCKEON
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 LAKEVIEW DR
Mailing Address - Street 2:BOX 233
Mailing Address - City:JULIAN
Mailing Address - State:CA
Mailing Address - Zip Code:92036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3240 LAKEVIEW DR
Practice Address - Street 2:BOX 233
Practice Address - City:JULIAN
Practice Address - State:CA
Practice Address - Zip Code:92036
Practice Address - Country:US
Practice Address - Phone:619-962-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA152423106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist